Organization
REDWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REETA J SMITH (EXECUTIVE DIRECTOR)
(248) 625-1280
Entity
Organization
Contact information
Practice address
5425 WHIPPLE LAKE RD, CLARKSTON, MI 48348-3058
(248) 394-1836
(248) 620-6061
Mailing address
3280 TRILLIUM LN, OXFORD, MI 48371-5528
(248) 625-1280
(248) 620-6061
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
06/06/2007
Last updated
08/22/2020
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