Individual provider · Type 1 NPI

Virginia A. O'Donnell, BSW

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Clinton Township, MI

NPI number 1053551473 Active

Practice location

21885 Dunham Rd, Suite 1
Clinton Township, MI 48036-1030

Call (586) 469-5950 Map

Mailing address

2811 Omar St
Port Huron, MI 48060-2960

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

64 other providers at this address

About NPI 1053551473

Virginia A. O'Donnell, BSW's National Provider Identifier is 1053551473, issued on Feb 25, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Clinton Township, MI. The record was last updated on Sep 7, 2023.