Individual provider · Type 1 NPI

Deshra Michelle Vines

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Flint, MI

NPI number 1255576765 Active

Practice location

1405 Watch Hill Dr
Flint, MI 48507-5625

Call (810) 233-6696 Map

Fax (810) 233-6696

Mailing address

714 Lippincott Blvd
Flint, MI 48503-5818

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XBCBA1349277 (MI)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XAS2504124845 (MI)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1255576765

Deshra Michelle Vines's National Provider Identifier is 1255576765, issued on Dec 11, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Flint, MI. The record was last updated on Apr 14, 2026.