| NPI | 1568356277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX FEDOROWYCH CEO 616-272-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-07 |