Organization
CLAY CREEK HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WILCOX (PRESIDENT)
(616) 755-3507
Entity
Organization
Contact information
Practice address
336 WEBSTER ST, PINCKNEY, MI 48169-8738
(616) 755-3507
Mailing address
336 WEBSTER ST, PINCKNEY, MI 48169-8738
(616) 755-3507
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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