# BOYS TO MEN GROUP HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659621597
- **Authorized official:** MR. ANTHONY POPLAR (CO-OWNER)
- **Authorized official phone:** (269) 998-9343

## Contact information

- **Practice address:** 6025 LITCHFIELD LN, KALAMAZOO, MI 49009-9128
- **Practice address phone:** (269) 254-8444
- **Mailing address:** 6025 LITCHFIELD LN, KALAMAZOO, MI 49009-9128
- **Mailing address phone:** (269) 254-8444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2012
- **Last updated:** 09/18/2012