KATHY PETERSON

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Individual
NPI: 1407601644

Practice Address

PO BOX 307
Saint Ignace, MI 49781

Phone: (906) 643-8774

Specialties

Specialty Code Primary License
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X Yes AS490300190 (MI)

Frequently Asked Questions

NPI 1407601644 is the National Provider Identifier for KATHY PETERSON, a Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Saint Ignace, MI. This NPI was enumerated on April 22, 2024.
KATHY PETERSON practices at PO BOX 307, Saint Ignace, MI 49781.

Quick Facts

NPI
1407601644
Type
Individual
Enumerated
Apr 22, 2024
Last Updated
Apr 22, 2024

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