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ADVENTURE CENTRE AT PRETTY LAKE NPI 1194977314


NPI Information

NPI: 1194977314
Provider Name: ADVENTURE CENTRE AT PRETTY LAKE

Other Name: ACPL

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
9497 Q AVE
MATTAWAN, MI
ZIP 49071
Phone: (269) 375-1664
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ADVENTURE CENTRE AT PRETTY LAKE is a community behavioral health in Mattawan, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ADVENTURE CENTRE AT PRETTY LAKE NPI is 1194977314. The provider is registered as an organization entity type.
The provider Other Name Is Acpl.

The provider's business location address is:

9497 Q AVE
MATTAWAN, MI
ZIP 49071-435
Phone: (269) 375-1664

The provider's authorized official is Richard Szwaja .
The authorized official title is Executive Director and has the following contact phone number (269) 375-1664.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 10/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health261QM0801XMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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