Mr. Mark Frederic Peterson I
Mr. Mark Frederic Peterson I is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2007
Practice location Address checks out
3351 36th StGrand Rapids, MI 49331
Phone: (616) 831-5659
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 6802071051 (MI) |
|---|
Record details
| NPI number | 1841474012 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 24, 2007 |
| Last updated in NPPES | December 24, 2007 |
| Mailing address | 2285 Christine Ct Se, Grand Rapids, MI 49546 |
Other providers in Grand Rapids
-
Hope Network Behavoiral Health Services
3333 36th St SE, Grand Rapids, MI 49512-2809 · (616) 954-3540
-
Kent Residential Centers, Inc
1225 Lake Dr SE, Grand Rapids, MI 49506-1656 · (616) 774-0853
-
Kleck Afc
631 3 Mile Rd NE, Grand Rapids, MI 49505-3362 · (616) 719-0620
-
Royal Care Home LLC
507 Fuller Ave SE, Grand Rapids, MI 49506-2526 · (616) 514-8837