The Firecracker Foundation
Clinic/Center, Adolescent and Children Mental Health in Holt, MI. Organization (NPI-2).
NPI number1669995635
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1669995635
- Entity type
- Organization (NPI-2)
- Legal business name
- The Firecracker Foundation
- Organization subpart
- No
- Enumeration date
- Jul 21, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 251V00000X | Voluntary or Charitable | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
2450 Delhi Commerce Dr Ste 9Holt, MI 48842-2193
Phone 517-242-5467
Mailing address
2450 Delhi Commerce Dr Ste 9Holt, MI 48842-2193
Phone 517-242-5467
Authorized official
Tashmica Torok
Executive Director
5172425467
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