NPI 1538463914

Hope Network

Organisation Psychiatric Residential Treatment Facility Grand Rapids, MI

Practice location

Address: 1492 E Beltline Ave SE, Grand Rapids, MI 49506-4336
Phone: (616) 940-0040
Fax: (616) 940-1055

Authorised official

Name: Lori Jo Krzciok
Title: Program Nurse
Phone: (616) 940-0040

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 4703093649 (MI)

Other Psychiatric Residential Treatment Facility providers in Michigan →

Registry record

NPI: 1538463914
Entity type: Organization
NPI issued: 29 Dec 2010
Record last updated: 29 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.