NPI | 1972210888 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEX FEDOROWYCH CEO 616-272-6171 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2022-10-31 |
Last Update Date | 2022-10-31 |