NPI | 1619049889 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES W. FORTUSHNIAK Executive Director 810-982-3261 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2006-11-14 |
Last Update Date | 2020-08-22 |