OrganizationActive
Freedom Adult Foster Care Corp.
NPI 1306058060 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Clarkston, MI
Provider details
- NPI number
- 1306058060
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Danny Souheaver, President(248) 625-7923
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
3990 Bird Rd
Clarkston, MI 48348-1014
Phone: (248) 625-7923
Fax: (248) 625-1852
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1588
Clarkston, MI 48347-1588
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.