Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TONIA LYNN MAITLAND
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · MONTROSE, MI
Registration Details
- NPI Number
- 1356417034
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 27, 2006 (19.399127202256 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AF250065418 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12237 MARSHALL RDMONTROSE, MI, 484578802Browse MI providers · Browse ZIP 48457
- Phone
- 8106396386
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.