| NPI | 1851786263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E. PILON Agency Director 517-349-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS330294925) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI AS330294925) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |