| NPI | 1699829119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNIFA MOHIBI Administrator PT 989-921-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI 02952C) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-10-25 |