Provider Demographics
NPI:1649012881
Name:EVERY WOMAN'S PLACE
Entity type:Organization
Organization Name:EVERY WOMAN'S PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:PASTOOR
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:231-759-7909
Mailing Address - Street 1:1221 W LAKETON AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-2866
Mailing Address - Country:US
Mailing Address - Phone:231-759-7909
Mailing Address - Fax:
Practice Address - Street 1:1221 W LAKETON AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-2866
Practice Address - Country:US
Practice Address - Phone:231-759-7909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility