NPI | 1467478081 |
---|---|
Former Legal Business Name | CLIFFORD PRIME CARE AFC |
Entity Type | Organization |
Authorized Contact | SUSIE M WILLIAMS Administrator/Owner 810-238-9431 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI 320900000X) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-08-22 |