Organization
HEARTLAND CENTER FOR AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX FEDOROWYCH (CEO)
(616) 272-6171
Entity
Organization
Contact information
Practice address
1909 TAHOE CIR, OKEMOS, MI 48864-2770
(616) 272-6171
Mailing address
7155 W HIDDEN LK, PERRY, MI 48872-8152
(616) 272-6171
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/07/2025
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