Organization
SANILAC THERAPEUTIC ALTERNATIVE RESIDENTIAL TREATMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN JOHNSTON (ADMIN)
(810) 376-4081
Entity
Organization
Contact information
Practice address
3646 PINE ST, DECKERVILLE, MI 48427-7719
(810) 376-4081
Mailing address
3646 PINE ST, DECKERVILLE, MI 48427-7719
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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