OrganizationActive
The Firecracker Foundation
NPI 1669995635 · Adolescent and Children Mental Health Clinic/Center · Holt, MI
Provider details
- NPI number
- 1669995635
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Tashmica Torok, Executive Director
Practice location
2450 Delhi Commerce Dr Ste 9
Holt, MI 48842-2193
Phone: (517) 242-5467
Mailing address
2450 Delhi Commerce Dr Ste 9
Holt, MI 48842-2193
Registry dates
- Enumerated
- 2017-07-21
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.