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445 E Sherman Blvd Muskegon Heights MI 49444-2203 | |
(231) 739-4359 | |
(231) 733-6151 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 445 E Sherman Blvd, Muskegon Heights, Michigan |
Authorized Official Name and Position | Leon Smith (CEO) |
Authorized Official Contact | 2317394359 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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445 E Sherman Blvd Muskegon Heights MI 49444-2203 Ph: (231) 739-4359 | 445 E Sherman Blvd Muskegon Heights MI 49444-2203 Ph: (231) 739-4359 |
NPI Number | 1609145648 |
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Provider Enumeration Date | 12/20/2011 |
Last Update Date | 12/20/2011 |
Identifier | Type | State | Issuer |
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1609145648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | L2010754 (Michigan) | Primary |