# PINE WAY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pine Way Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720759046
- **Authorized official:** MR. MARK FRANK (OWNER)
- **Authorized official phone:** (616) 214-9142

## Contact information

- **Practice address:** 1276 JACK PINE DR, KALAMAZOO, MI 49006-5499
- **Practice address phone:** (616) 214-9142
- **Mailing address:** 7667 CROOKED COVE ST, KALAMAZOO, MI 49009-4073
- **Mailing address phone:** (616) 214-9142

## Taxonomy

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

## Other

- **Enumeration date:** 09/27/2021
- **Last updated:** 09/27/2021