| NPI | 1275355273 |
|---|---|
| Doing Business As | SKYWOOD OUTPATIENT-GRAND RAPIDS |
| Entity Type | Organization |
| Authorized Contact | STEVE FILTON Vice President 610-768-3482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |