OrganizationActive
Goodness Legacy Group Inc
NPI 1922796531 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wayne, MI
Provider details
- NPI number
- 1922796531
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Martha Martins, Ceo/President(248) 277-1676
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
4405 Adams Cir
Wayne, MI 48184-2709
Phone: (248) 277-1676
Approximate (ZIP-level) locationGet directions
Mailing address
4405 Adams Cir
Wayne, MI 48184-2709
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.