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Organization

HEARTLAND CENTER FOR AUTISM

Active
Parent organization
HEARTLAND CENTER FOR AUTISM
Organization subpart
Yes

Provider details

NPI number
Legal business name
HEARTLAND CENTER FOR AUTISM
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
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
10/31/2022
Last updated
06/09/2025
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