Organization
ADAPT ST JOE INC
Active
Other names
Westbrook
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY JO KNISELY (BUSINESS MANAGER)
(517) 279-7531
Entity
Organization
Contact information
Practice address
202 MORSE ST, COLDWATER, MI 49036-1477
(517) 279-7531
(517) 278-3154
Mailing address
202 MORSE ST, COLDWATER, MI 49036-1477
(517) 279-7531
(517) 278-3154
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
120091717
MI
Other
Enumeration date
01/23/2014
Last updated
03/04/2014
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