Organization
BASELINE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FERRY L.L.P. (PRESIDENT)
(269) 501-5670
Entity
Organization
Contact information
Practice address
122 W CROSSTOWN PKWY, KALAMAZOO, MI 49001-2742
(269) 501-5670
Mailing address
PO BOX 160, GOBLES, MI 49055-0160
(269) 501-5670
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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