Beginning of Independence Group LLC
NPI #1568866937 in Mount Clemens, Michigan
Provider Information
- NPI Number
- 1568866937
- Entity Type
- Organization
- Organization Name
- Beginning of Independence Group LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 14, 2014
- Last Updated
- Oct 14, 2014
Practice Location
- Address
- 49 MACOMB PL
- Address 2
- SUITE 47
- City
- Mount Clemens
- State
- Michigan
- ZIP Code
- 48043-5675
- Phone
- (586) 604-6766
Authorized Official
- Name
- MR. ROY DEMELE BURTON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (586) 604-6766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child |
| Community Based Residential Treatment Facility, Mental Illness |
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