Organization
BEGINNING OF INDEPENDENCE GROUP LLC
Active
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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