OrganizationActive
Great Living Foster Care
NPI 1487066734 · Mental Illness Community Based Residential Treatment Facility · Berrien Springs, MI
Provider details
- NPI number
- 1487066734
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Bergeline Florvilus, Manager(269) 815-2087
- License
- AF110317417 (MI)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense AF110317417 (MI)
Residential Treatment Facilities
Practice location
8973 Pioneer Ct
Berrien Springs, MI 49103-1700
Phone: (269) 815-2087
Fax: (269) 815-5064
Approximate (ZIP-level) locationGet directions
Mailing address
8973 Pioneer Ct
Berrien Springs, MI 49103-1700
Registry dates
- Enumerated
- 2014-05-21
- Last updated
- 2014-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.