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NPI 1255414694 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Inkster, MI
Provider details
- NPI number
- 1255414694
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Kevin Hankerson, Ceo
Mailing address
24106 Hickory Grove Ln
Novi, MI 48375-3168
Registry dates
- Enumerated
- 2006-10-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.