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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · WYANDOTTE, MI

Organization Active NPI 1306261789

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XAS820014266MI
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XAS820256000MI

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.