| NPI | 1730757261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TROJANEK Director Of Finance 734-677-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2022-07-22 |