NPI 1154472710

Boys & Girls Republic

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Farmington Hills, MI

Practice location

Address: 28000 W 9 Mile Rd, Farmington Hills, MI 48336-3812
Phone: (248) 476-9550
Fax: (248) 473-6332

Authorised official

Name: Maryjane Peck
Title: Executive Director
Phone: (248) 476-9550

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence C1630200987 (MI)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Michigan →

Voluntary or Charitable Agency

Agencies Taxonomy 251V00000X

Other Voluntary or Charitable providers in Michigan →

Registry record

NPI: 1154472710
Entity type: Organization
NPI issued: 12 Jan 2007
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.