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1362 Baldwin St Jenison MI 49428-8937 | |
| (616) 901-3696 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1362 Baldwin St, Jenison, Michigan |
| Authorized Official Name and Position | Edward P Schmitt (OWNER) |
| Authorized Official Contact | 6169013696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1551 Caprice Dr Jenison MI 49428-9582 Ph: (616) 901-3696 | 1362 Baldwin St Jenison MI 49428-8937 Ph: (616) 901-3696 |
| NPI Number | 1598514028 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598514028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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