Organization
BEGINNING OF INDEPENDENCE GROUP LLC
Active
Other names
BIG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY DEMELE BURTON (EXECUTIVE DIRECTOR)
(586) 604-6766
Entity
Organization
Contact information
Practice address
49 MACOMB PL, SUITE 47, MOUNT CLEMENS, MI 48043-5675
(586) 604-6766
Mailing address
49 MACOMB PLACE, SUITE 47, MT. CLEMENS, MI 48043
(586) 604-6766
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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