Organization
KINDRED SPIRIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS MONTAGUE (EXECUTIVE DIRECTOR)
(810) 686-1710
Entity
Organization
Contact information
Practice address
2320 W DODGE RD, CLIO, MI 48420-1664
(810) 686-1710
(810) 686-8939
Mailing address
2320 W DODGE RD, CLIO, MI 48420-1664
(810) 686-1710
(810) 686-8939
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AM250273429
MI
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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