Whalio Doctors

NPI 1659621597

Boys to Men Group Home, LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Kalamazoo, MI

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
Residential Treatment Facilities Taxonomy 322D00000X

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.