Organization
DIVINED COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAPPINESS NWAOPARA (PRESIDENT)
(248) 346-4397
Entity
Organization
Contact information
Practice address
1448 NORTHWOOD DR, INKSTER, MI 48141-1786
(313) 406-9641
Mailing address
6400 ROYAL POINTE DR, WEST BLOOMFIELD, MI 48322-4803
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AS820302636
MI
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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