BOYS & GIRLS REPUBLIC – NPI #1154472710
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

BOYS & GIRLS REPUBLIC is a residential treatment facility located in FARMINGTON HILLS, MI. NPPES has assigned the NPI number 1154472710 to BOYS & GIRLS REPUBLIC on January 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOYS & GIRLS REPUBLIC below.

NPI Profile for
BOYS & GIRLS REPUBLIC

NPI Number
1154472710
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOYS & GIRLS REPUBLIC
Primary location
28000 W 9 MILE RD
FARMINGTON HILLS, MI 48336-3812
Phone: (248) 476-9550 Fax: (248) 473-6332
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARYJANE PECK
EXECUTIVE DIRECTOR
Phone: (248) 476-9550
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
MI C1630200987
251V00000X
- Voluntary or Charitable
MI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.