Mcmahan Adult Foster Care

NPI #1790936607 in Burton, Michigan

Provider Information

NPI Number: 1790936607
Entity Type: Organization
Organization Name: Mcmahan Adult Foster Care
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 9, 2008
Last Updated: Oct 9, 2008

Practice Location

Address: 1478 E BUDER AVE
City: Burton
State: Michigan
ZIP Code: 48529-1606
Phone: (810) 875-9681

Authorized Official

Name: TRACY RENEE MCMAHAN
Title: OWNER
Phone: (810) 875-9681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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