| NPI | 1619067451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KENNEDY Executive Director 734-722-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820013647) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |