| Catherine A Vandewege Llc | |
|
800 Monroe Ave Nw Ste 201 Grand Rapids MI 49503-1448 | |
| (616) 574-4098 | |
| (313) 202-8257 |
| Full Name | Catherine A Vandewege Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 800 Monroe Ave Nw Ste 201, Grand Rapids, Michigan |
| Authorized Official Name and Position | Catherine Anne Hinton Vandewege (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6165744098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine A Vandewege Llc 2250 Sylvan Ave Se Grand Rapids MI 49506-5253 Ph: (616) 574-4098 | Catherine A Vandewege Llc 800 Monroe Ave Nw Ste 201 Grand Rapids MI 49503-1448 Ph: (616) 574-4098 |
| NPI Number | 1912471863 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 01/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912471863 | NPI | - | NPPES |
| 1225245517 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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