| NPI | 1649359316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILSON Director Of Finance 989-673-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2013-01-28 |