NPI 1043263056
Helpsource
Practice location
- Address
- 3879 Packard St, Ann Arbor, MI 48108-2011
- Phone
- (734) 973-1900
- Fax
- (734) 973-2445
Authorised official
- Name
- Susan Crabb
- Title
- President
- Phone
- (734) 973-1900
Registered specialties (7)
Local Education Agency (LEA)
Primary
Public Health or Welfare Agency
Public Health or Welfare Agency
Emotionally Disturbed Childrens' Residential Treatment Facility
Emotionally Disturbed Childrens' Residential Treatment Facility
Emotionally Disturbed Childrens' Residential Treatment Facility
Emotionally Disturbed Childrens' Residential Treatment Facility
Registry record
- NPI
- 1043263056
- Entity type
- Organization
- NPI issued
- 19 May 2006
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.