Goodness Legacy Group INC

NPI #1922796531 in Wayne, Michigan

Provider Information

NPI Number: 1922796531
Entity Type: Organization
Organization Name: Goodness Legacy Group INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 1, 2023
Last Updated: May 1, 2023

Practice Location

Address: 4405 ADAMS CIR
City: Wayne
State: Michigan
ZIP Code: 48184-2709
Phone: (248) 277-1676

Authorized Official

Name: MARTHA MARTINS
Title: CEO/PRESIDENT
Phone: (248) 277-1676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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