Organization
BEN ESH-NAUTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN ESH-NAUTA LMSW (PRACTITIONER)
(616) 502-5291
Entity
Organization
Contact information
Practice address
107 S DIVISION ST, SPRING LAKE, MI 49456-2015
(616) 502-5291
Mailing address
107 S DIVISION ST, SPRING LAKE, MI 49456-2015
(616) 502-5291
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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