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Organization

BOYS TO MEN GROUP HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY POPLAR (CO-OWNER)
(269) 998-9343
Entity
Organization

Contact information

Practice address
6025 LITCHFIELD LN, KALAMAZOO, MI 49009-9128
(269) 254-8444
Mailing address
6025 LITCHFIELD LN, KALAMAZOO, MI 49009-9128
(269) 254-8444

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
09/18/2012
Last updated
09/18/2012
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