| Corewell Health Hospitals Pediatric Behavioral Health | |
|
100 Michigan St Ne Grand Rapids MI 49503-2560 | |
| (616) 391-1774 | |
| Not Available |
| Full Name | Corewell Health Hospitals Pediatric Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 100 Michigan St Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Ryan Catignani (VP PROVIDER SERVICES) |
| Authorized Official Contact | 9475220008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corewell Health Hospitals Pediatric Behavioral Health 100 Michigan St Ne Grand Rapids MI 49503-2560 Ph: (616) 486-6790 | Corewell Health Hospitals Pediatric Behavioral Health 100 Michigan St Ne Grand Rapids MI 49503-2560 Ph: (616) 391-1774 |
| NPI Number | 1205615077 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205615077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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