Adolescent And Family Behavioral Health Services

NPI 1184054652 - Psychologist - 103T00000X

NPI Details
NPI 1184054652
Enumeration Date 11/20/2013
Last Updated 11/21/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name VALENCIA VALENCIA
Position PSYCHOLOGIST
Phone (616) 719-0194
Fax (800) 219-5205
Practice Location
3501 LAKE EASTBROOK BLVD SE
#258
GRAND RAPIDS MI, 49546-5938, US
Phone (616) 719-0194
Fax (800) 219-5205
Business Location
3501 LAKE EASTBROOK BLVD SE
#258
GRAND RAPIDS MI, 49546-5938, US
Phone (616) 719-0194
Fax (800) 219-5205
Toxanomy
Taxonomy Code 103T00000X
License State Michigan
License Number 6301015520
Remove 1184054652 NPI Number
 

According to our database, Adolescent And Family Behavioral Health Services NPI is 1184054652, taxonomy code is 103T00000X and license number is 6301015520, license state is located at Michigan. Adolescent And Family Behavioral Health Services physically located at 3501 Lake Eastbrook Blvd Se, Grand Rapids MI, 49546-5938. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1184054652 NPI number is provided on an as is basis without warranty of any kind. 1184054652 is maintained by the National Plan & Provider Enumeration System. The contents of Adolescent And Family Behavioral Health Services are for informational purposes only.