| NPI | 1902997224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL T GOWDY CEO/President 616-942-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MI CI410201226) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MI CI410201359) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MI CI410201082) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MI CICI410201003) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MI CI410201501) | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children (Licence: MI CI410201502) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-11-01 |