Organization
MICHIGAN HABILITATION AND LEARNING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MEDHANE EGZIABHER (EXECUTIVE DIRECTOR)
(248) 539-3209
Entity
Organization
Contact information
Practice address
6784 W KNOLLWOOD, WEST BLOOMFIELD, MI 48322-3959
(248) 539-3209
(248) 424-9957
Mailing address
6784 W KNOLLWOOD, WEST BLOOMFIELD, MI 48322-3959
(248) 539-3209
(248) 424-9957
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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