NPI | 1306097191 |
---|---|
Other Name | BOYD'S AFC HOME |
Entity Type | Organization |
Authorized Contact | LUCILLE LOIS BOYD Owner 810-875-9633 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AM250008164) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2008-10-10 |