Organization
ROYSTER HAVEN
Active
Other names
Royster Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL ROMAN ROYSTER (OWNER)
(810) 233-6958
Entity
Organization
Contact information
Practice address
2026 OREN AVE, FLINT, MI 48505-4688
(810) 233-6958
(810) 235-1048
Mailing address
2026 OREN AVE, FLINT, MI 48505-4688
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AF250087511
MI
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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