MR. Mark Frederic Peterson is a community based residential treatment facility, intellectual and/or developmental disabilities in Grand Rapids, MI. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MR. Mark Frederic Peterson NPI is 1841474012. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3351 36TH ST
GRAND RAPIDS, MI
ZIP 49331
Phone: (616) 831-5659
The enumeration date for this NPI number is 12/24/2007 and was last updated on 12/24/2007.