Individual provider · Type 1 NPI

Connie Hubbard

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

NPI number 1912439118 Active

Practice location

9912 Leverne
Redford, MI 48239-2241

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

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.

About NPI 1912439118

Connie Hubbard's National Provider Identifier is 1912439118, issued on Mar 28, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Redford, MI. The record was last updated on Mar 28, 2017.