NPI 1730757261

Moriah Enrichment Center, LLC

Organisation Multi-Specialty Clinic/Center Manchester, MI

Practice location

Address: 8735 Mi State Road 52, Manchester, MI 48158-9445
Phone: (734) 428-0369
Fax: (734) 428-0408
Mailing address: PO Box 6069, Ann Arbor, MI 48106-6069

Authorised official

Name: Charles Trojanek
Title: Director of Finance
Phone: (734) 677-0070

Registered specialties (7)

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Developmental Disabilities Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QD1600X

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X

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Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1730757261
Entity type: Organization
NPI issued: 11 Jun 2021
Record last updated: 22 Jul 2022

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.