| NPI | 1154560704 |
|---|---|
| Other Name | BWP COMMUNITY LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN D. KACMAR Executive Director 231-728-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS610015152) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2010-01-04 |