# BOYS & GIRLS REPUBLIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154472710
- **Authorized official:** MARYJANE PECK LMSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (248) 476-9550

## Contact information

- **Practice address:** 28000 W 9 MILE RD, FARMINGTON HILLS, MI 48336-3812
- **Practice address phone:** (248) 476-9550
- **Practice address fax:** (248) 473-6332
- **Mailing address:** 28000 W 9 MILE RD, FARMINGTON HILLS, MI 48336-3812
- **Mailing address phone:** (248) 476-9550
- **Mailing address fax:** (248) 473-6332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251V00000X | Voluntary or Charitable Agency | — | MI | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | C1630200987 | MI | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 09/11/2025