Organization
TWIN MAPLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA GRIFFITH (DIRECT OWNER)
(517) 750-2968
Entity
Organization
Contact information
Practice address
158 ROBINSON RD, JACKSON, MI 49203-1053
(517) 750-2968
(517) 750-9023
Mailing address
158 ROBINSON RD, JACKSON, MI 49203-1053
(517) 750-2968
(517) 750-9023
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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