Mizpah Group Home INC

NPI #1467758789 in New Hudson, Michigan

Provider Information

NPI Number
1467758789
Entity Type
Organization
Organization Name
Mizpah Group Home INC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Feb 3, 2011
Last Updated
Feb 3, 2011

Practice Location

Address
31058 WHEATON
Address 2
201
ZIP Code
48165-9469
Phone
(248) 796-2639

Authorized Official

Name
MR. ALONZO KEVIN MORGAN SR., MA
Title
PRESIDENT
Phone
(248) 796-2639

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home
Private Vehicle
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, ChildRespite Care, Intellectual and/or Developmental Disabilities, Child
Substance Abuse Rehabilitation Facility

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