NPI 1659621597
Boys to Men Group Home, LLC
Practice location
- Address
- 6025 Litchfield Ln, Kalamazoo, MI 49009-9128
- Phone
- (269) 254-8444
Authorised official
- Name
- Anthony Poplar
- Title
- Co-Owner
- Phone
- (269) 998-9343
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1659621597
- Entity type
- Organization
- NPI issued
- 18 Sep 2012
- Record last updated
- 18 Sep 2012
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.