NPI 1598916793

Royster Haven

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

Practice location

Address: 2026 Oren Ave, Flint, MI 48505-4688
Phone: (810) 233-6958
Fax: (810) 235-1048

Authorised official

Name: Carl Roman Royster
Title: Owner
Phone: (810) 233-6958

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence AF250087511 (MI)

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Registry record

NPI: 1598916793
Entity type: Organization
NPI issued: 6 Oct 2008
Record last updated: 6 Oct 2008

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.