Organization
ARBOR CIRCLE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY CARDOSA (HUMAN RESOURCES MANAGER)
(616) 456-7775
Entity
Organization
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-7775
(616) 456-8568
Mailing address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-7775
(616) 456-8568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
4301034105
MI
2080P0006X
Developmental - Behavioral Pediatrics Physician
4301069203
MI
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
5601003749
MI
Other
Enumeration date
11/02/2006
Last updated
01/04/2023
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