NPI 1720759046

Pine Way Group

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Kalamazoo, MI

Practice location

Address: 1276 Jack Pine Dr, Kalamazoo, MI 49006-5499
Phone: (616) 214-9142
Mailing address: 7667 Crooked Cove St, Kalamazoo, MI 49009-4073

Authorised official

Name: Mark Frank
Title: Owner
Phone: (616) 214-9142

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1720759046
Entity type: Organization
NPI issued: 27 Sep 2021
Record last updated: 27 Sep 2021

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.