NPI 1790936607

McMahan Adult Foster Care

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Burton, MI

Practice location

Address: 1478 E Buder Ave, Burton, MI 48529-1606
Phone: (810) 875-9681
Fax: (810) 875-9681

Authorised official

Name: Tracy Renee McMahan
Title: Owner
Phone: (810) 875-9681

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence AS250285536 (MI)

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

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence AS250285536 (MI)

Other Counselor providers in Michigan →

Registry record

NPI: 1790936607
Entity type: Organization
NPI issued: 9 Oct 2008
Record last updated: 9 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.