NPI 1770859217

Consumer Advancement

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

Practice location

Address: 3209 Old Farm Rd 4438 Colby CT., Flint, MI 48507-1248
Phone: (810) 449-2473
Fax: (810) 733-0118
Mailing address: 3209 Old Farm Rd., Burton, MI 48509

Authorised official

Name: Latonia Fletcher
Title: Administrator
Phone: (810) 449-2473

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence AS250282482 (MI)

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

Registry record

NPI: 1770859217
Entity type: Organization
NPI issued: 29 Mar 2012
Record last updated: 29 Mar 2012

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.