OrganizationActive
Boys & Girls Republic
NPI 1154472710 · Emotionally Disturbed Childrens' Residential Treatment Facility · Farmington Hills, MI
Provider details
- NPI number
- 1154472710
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Maryjane Peck, Executive Director
- License
- C1630200987 (MI)
Practice location
28000 W 9 Mile Rd
Farmington Hills, MI 48336-3812
Phone: (248) 476-9550
Fax: (248) 473-6332
Mailing address
28000 W 9 Mile Rd
Farmington Hills, MI 48336-3812
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.