Organization
MORIAH ENRICHMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES TROJANEK (DIRECTOR OF FINANCE)
(734) 677-0070
Entity
Organization
Contact information
Practice address
8735 MI STATE ROAD 52, MANCHESTER, MI 48158-9445
(734) 428-0369
(734) 428-0408
Mailing address
PO BOX 6069, ANN ARBOR, MI 48106-6069
(734) 677-0070
(734) 677-0890
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/11/2021
Last updated
07/22/2022
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