| NPI | 1720335391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY HOWARD Therapeutic Recreation Specialist 517-332-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |