| NPI | 1568866937 |
|---|---|
| Doing Business As | BIG |
| Entity Type | Organization |
| Authorized Contact | ROY DEMELE BURTON Executive Director 586-604-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |