OrganizationActive
Community Programs and Services
NPI 1750574323 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wayne, MI
Provider details
- NPI number
- 1750574323
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Richard Bennett, President & Ceo(734) 728-4201
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
32510 Michigan Ave
Wayne, MI 48184-1427
Phone: (734) 728-4201
Fax: (734) 728-4408
Street-level locationGet directions
Mailing address
32510 Michigan Ave
Wayne, MI 48184-1427
Registry dates
- Enumerated
- 2007-08-27
- Last updated
- 2007-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.