| The Caerus Group Llc | |
|
732 S. 11th St #197 Niles MI 49120 | |
| (843) 408-5971 | |
| Not Available |
| Full Name | The Caerus Group Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 732 S. 11th St #197, Niles, Michigan |
| Authorized Official Name and Position | Jamie Wiles-smith (DIRECTOR) |
| Authorized Official Contact | 8434085971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Caerus Group Llc 3226 Brunswick Square Drive Mishawaka IN 46544 Ph: (843) 408-5971 | The Caerus Group Llc 732 S. 11th St #197 Niles MI 49120 Ph: (843) 408-5971 |
| NPI Number | 1093285652 |
|---|---|
| Provider Enumeration Date | 11/27/2018 |
| Last Update Date | 11/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093285652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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