| NPI | 1679248496 |
|---|---|
| Doing Business As | SANFORD WEST BEHAVIORAL HEALTH SERVICES ED |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ROBINSON TALBERT Credentialing & Contracting Manage 616-520-9074 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2022-11-02 |