Organization Name: | BAY HUMAN SERVICES INC |
NPI Number: | 1619020856 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES J PILOT (EXECUTIVE DIRECTOR) |
Mailing Address: | 125 S Forest Street Standish |
State: | MI US |
Postal Code: | 48658 |
Phone Number: | 9898469631 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 884278 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |