NPI 1205923463

Renae Manigault

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Detroit, MI

Practice location

Address: 19350 Charest St, Detroit, MI 48234-1646
Phone: (313) 418-8095

Authorised official

Name: Renae Manigault
Title: Admn.
Phone: (313) 418-8095

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Michigan →

Registry record

NPI: 1205923463
Entity type: Organization
NPI issued: 9 Oct 2006
Record last updated: 22 Aug 2020

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.