Organization
PINE WAY GROUP
Active
Other names
The Pine Way Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK FRANK (OWNER)
(616) 214-9142
Entity
Organization
Contact information
Practice address
1276 JACK PINE DR, KALAMAZOO, MI 49006-5499
(616) 214-9142
Mailing address
7667 CROOKED COVE ST, KALAMAZOO, MI 49009-4073
(616) 214-9142
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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