Individual provider · Type 1 NPI
Brenda White
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Warren, MI
Practice location
21180 Gentner St
Warren, MI 48089-3437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | AF500286756 (MI) |
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.
About NPI 1295258010
Brenda White's National Provider Identifier is 1295258010, issued on Jul 24, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Warren, MI. The record was last updated on Jul 24, 2017.