SearchMichiganIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Brenda White

NPI 1295258010 · on the registry since 2017 · sole proprietor

Practice

Address
21180 Gentner St
Warren, MI 48089
Phone
(586) 774-9559

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan