Organization
GREEN CASTLE RECOVERY CENTERS, LLC.
Active
Other names
Sanford House
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GREEN (CEO)
(616) 288-6970
Entity
Organization
Contact information
Practice address
221 JOHN ST NE, GRAND RAPIDS, MI 49503-3237
(616) 288-6970
Mailing address
15146 16TH AVE, MARNE, MI 49435-9605
(616) 288-6970
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
L576408
MI
Other
Enumeration date
03/03/2015
Last updated
02/17/2023
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