| West Michigan Therapy Inc | |
|
1823 Commerce St 2333 Jarman St Muskegon MI 49441 | |
| (231) 728-2138 | |
| (231) 722-4771 |
| Full Name | West Michigan Therapy Inc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1823 Commerce St, Muskegon, Michigan |
| Authorized Official Name and Position | Randal Eugene Dame (CERTIFIED ALCOHOL & DRUG COUNSELO) |
| Authorized Official Contact | 2317282138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Michigan Therapy Inc 1823 Commerce St Same Muskegon MI 49441 Ph: (231) 728-2138 | West Michigan Therapy Inc 1823 Commerce St 2333 Jarman St Muskegon MI 49441 Ph: (231) 728-2138 |
| NPI Number | 1851642367 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 09/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851642367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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