Organization
CENTER FOR EATING DISORDERS AND MENTAL WELLNES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GALLEGOS (CREDENTIALING MANAGER)
(517) 483-2461
Entity
Organization
Contact information
Practice address
3230 BROADMOOR AVE SE STE D, KENTWOOD, MI 49512-8180
(616) 821-7965
Mailing address
3230 BROADMOOR AVE SE STE D, KENTWOOD, MI 49512-8180
(616) 821-7965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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