OrganizationActive
Equine Escape
NPI 1710713649 · Voluntary or Charitable Agency · Goodrich, MI
Provider details
- NPI number
- 1710713649
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Susan Manser, Vice President(248) 802-2608
Specialties & taxonomies
Agencies
- Public Health or Welfare Agency251K00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Point of Service305S00000X
Managed Care Organizations
Practice location
5880 Brigham Rd
Goodrich, MI 48438-9645
Phone: (810) 287-0519
Approximate (ZIP-level) locationGet directions
Mailing address
5880 Brigham Rd
Goodrich, MI 48438-9645
Registry dates
- Enumerated
- 2024-09-09
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.