NPI | 1255060539 |
---|---|
Doing Business As | SANFORD WEST PSYCH SERVICES |
Entity Type | Organization |
Authorized Contact | ALEC GREEN Managing Director 616-520-9074 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2022-06-10 |
Last Update Date | 2024-02-27 |