IndividualActive
Kyleigh Fowler
NPI 1942996129 · Mental Illness Community Based Residential Treatment Facility · Grand Rapids, MI
Provider details
- NPI number
- 1942996129
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Residential Treatment Facilities
Practice location
300 68th St Se
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
Fax: (616) 281-6459
Approximate (ZIP-level) locationGet directions
Mailing address
4829 E Beltline Ave Ne Ste 310
Grand Rapids, MI 49525-9350
Registry dates
- Enumerated
- 2023-04-12
- Last updated
- 2025-12-12
- Certified
- 2025-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.