Organization
GOODNESS LEGACY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA MARTINS (CEO/PRESIDENT)
(248) 277-1676
Entity
Organization
Contact information
Practice address
4405 ADAMS CIR, WAYNE, MI 48184-2709
(248) 277-1676
Mailing address
4405 ADAMS CIR, WAYNE, MI 48184-2709
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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