Organization
CENTER FOR EQUINE AND YOUTH REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN PATTON (PRESIDENT)
(989) 621-0714
Entity
Organization
Contact information
Practice address
700 N HILTON PARK RD, MUSKEGON, MI 49442-9424
(616) 843-1812
Mailing address
4506 W PARK RD, NEW ERA, MI 49446-8110
(989) 621-0714
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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