| NPI | 1750642997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG STEPHEN ROCKWELL Sole Mbr 616-457-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI 2301004746) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |