Organization
SACRED BEGINNINGS TRANSITIONAL HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE F KING (CHAIRMAN-CEO)
(616) 819-9840
Entity
Organization
Contact information
Practice address
1165 HERMITAGE ST SE, GRAND RAPIDS, MI 49506-1420
(616) 272-4312
Mailing address
PO BOX 9472, WYOMING, MI 49509-0472
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
11/01/2012
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