Organization
LIFE SKILLS CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE R. WAGNER (EXECUTIVE DIRECTOR)
(586) 468-3682
Entity
Organization
Contact information
Practice address
53 CROCKER, MT. CLEMENS, MI 48043-2550
(586) 468-3682
(586) 468-3694
Mailing address
53 CROCKER BLVD, MOUNT CLEMENS, MI 48043-2550
(586) 468-3682
(586) 468-3694
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
10/25/2012
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