Community Healing Centers

NPI 1114218609 - Point of Service - 305S00000X

NPI Details
NPI 1114218609
Enumeration Date 05/02/2011
Last Updated 05/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ELLEN ELLEN
Position COUNSELOR
Phone (126) 968-4774
Fax
Practice Location
1225 S 11TH ST
NILES MI, 49120-3408, US
Phone (126) 968-4774
Fax
Business Location
1225 S 11TH ST
NILES MI, 49120-3408, US
Phone (126) 968-4774
Fax
Toxanomy
Taxonomy Code 305S00000X
License State Indiana
License Number 86000132A
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According to our database, Community Healing Centers NPI is 1114218609, taxonomy code is 305S00000X and license number is 86000132A, license state is located at Indiana. Community Healing Centers physically located at 1225 S 11th St, Niles MI, 49120-3408. NPI Number 1033115704 has the healthcare provider type.

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1114218609 NPI number is provided on an as is basis without warranty of any kind. 1114218609 is maintained by the National Plan & Provider Enumeration System. The contents of Community Healing Centers are for informational purposes only.