Organization
KALAMAZOO TC OPERATOR LLC
Active
Other names
Enlightened Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANN JONES (REIMBURSEMENT MANAGER)
(609) 798-0887
Entity
Organization
Contact information
Practice address
1430 ALAMO AVE, KALAMAZOO, MI 49006-2216
(269) 216-4250
(269) 585-5908
Mailing address
1430 ALAMO AVE, KALAMAZOO, MI 49006-2216
(609) 493-4770
(269) 585-5908
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
03/12/2026
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