| NPI | 1134911365 |
|---|---|
| Doing Business As | SANFORD VETERANS AND FIRST RESPONDERS |
| Entity Type | Organization |
| Authorized Contact | MALISSA WEBBER Credentialing Specialist 616-520-9074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-08-15 |