OrganizationActive
Ideal Treasure Care Afc
NPI 1548907504 · Mental Illness Community Based Residential Treatment Facility · Portage, MI
Provider details
- NPI number
- 1548907504
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Regina Mugo, Owner(269) 414-9598
Specialties & taxonomies
Residential Treatment Facilities
Practice location
6710 Evergreen St
Portage, MI 49024-3220
Phone: (269) 414-9598
Fax: (269) 254-8187
Approximate (ZIP-level) locationGet directions
Mailing address
6710 Evergreen St
Portage, MI 49024-3220
Registry dates
- Enumerated
- 2022-05-19
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.