Great Lakes Regional Care, INC

NPI #1326333428 in Battle Creek, Michigan

Provider Information

NPI Number
1326333428
Entity Type
Organization
Organization Name
Great Lakes Regional Care, INC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jun 16, 2011
Last Updated
Jun 16, 2011

Practice Location

Address
207 NORTH AVE
ZIP Code
49017-3430
Phone
(269) 964-8000

Authorized Official

Name
MR. HIRAM ZAYAS, MASTER OF SCIENCE
Title
CEO
Phone
(269) 449-8291

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Community Based Residential Treatment Facility, Mental Illness

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