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Organization

COMMUNITY RESIDENCE CORPORATION

Active
Other names
Community Alliance
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE M. GRANT (EXECUTIVE DIRECTOR)
(734) 482-3300
Entity
Organization

Contact information

Practice address
1851 WASHTENAW RD, YPSILANTI, MI 48197-1702
(734) 482-3300
(734) 482-3894
Mailing address
1851 WASHTENAW RD, YPSILANTI, MI 48197-1702
(734) 482-3300
(734) 482-3894

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MI

Other

Enumeration date
01/18/2007
Last updated
05/04/2015
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