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Organization
SACRED HEART
Active
Organization
SACRED HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN JAMES EIFERT CACII (THERAPIST)
(810) 392-2167
Entity
Organization
Contact information
Practice address
400 STODDARD RD., MEMPHIS, MI 48041
(810) 392-2167
Mailing address
7094 BRYCE RD, CLYDE, MI 48049-3400
(810) 324-6077
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
#500044
MI
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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