Whalio Doctors

NPI 1700037082

Bertram's Manor LLC

Organisation Mental Illness Community Based Residential Treatment Facility Flint, MI

Practice location

Address
1202 Church St, Flint, MI 48502-1015
Phone
(810) 238-1430
Fax
(810) 238-1447

Authorised official

Name
Nicholas D Burnett
Title
Owner/Administrator
Phone
(810) 238-1430

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence AM250289405 (MI)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence AM250289405 (MI)

Registry record

NPI
1700037082
Entity type
Organization
NPI issued
6 Oct 2008
Record last updated
6 Oct 2008

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.