Organization
HAITH PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L'TANYA A HAITH MD (PRESIDENT/OWNER)
(616) 942-4525
Entity
Organization
Contact information
Practice address
2460 BURTON ST SE STE 101, GRAND RAPIDS, MI 49546-4806
(616) 942-4525
(616) 942-4535
Mailing address
PO BOX 120125, GRAND RAPIDS, MI 49528-0103
(616) 235-2090
(616) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
04/10/2008
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