Individual provider · Type 1 NPI

Kyleigh Fowler

Mental Illness Community Based Residential Treatment Facility · Grand Rapids, MI

NPI number 1942996129 Active

Practice location

300 68th St SE
Grand Rapids, MI 49548-6927

Call (616) 455-5000 Map

Fax (616) 281-6459

Mailing address

4829 E Beltline Ave NE Ste 310
Grand Rapids, MI 49525-9350

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

680 other providers at this address

About NPI 1942996129

Kyleigh Fowler's National Provider Identifier is 1942996129, issued on Apr 12, 2023. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 12, 2025.