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3250 28th St Se Suite 102 Grand Rapids MI 49512-1644 | |
| (616) 248-3775 | |
| (616) 419-4152 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 3250 28th St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Emily Perton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6162483775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3250 28th St Se Suite 102 Grand Rapids MI 49512-1644 Ph: (616) 248-3775 | 3250 28th St Se Suite 102 Grand Rapids MI 49512-1644 Ph: (616) 248-3775 |
| NPI Number | 1851794713 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851794713 | NPI | - | NPPES |
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