| Haven Alliance | |
|
290 Greenbrier Dr Se Grand Rapids MI 49546-2232 | |
| (616) 970-7139 | |
| Not Available |
| Full Name | Haven Alliance |
|---|---|
| Speciality | Counselor - Professional |
| Location | 290 Greenbrier Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Sarah Eastway (OWNER) |
| Authorized Official Contact | 6169707139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Alliance 290 Greenbrier Dr Se Grand Rapids MI 49546-2232 Ph: (616) 970-7139 | Haven Alliance 290 Greenbrier Dr Se Grand Rapids MI 49546-2232 Ph: (616) 970-7139 |
| NPI Number | 1902598022 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902598022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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