| NPI | 1740446566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL HENRY President/Provider 248-855-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820273992) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI AS820273992) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |