Organization
COMMUNITY HEALING CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN YOUNG (COUNSELOR)
12696847741
Entity
Organization
Contact information
Practice address
1225 S 11TH ST, NILES, MI 49120-3408
(126) 968-4774
Mailing address
1225 S 11TH ST, NILES, MI 49120-3408
(126) 968-4774
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
86000132A
IN
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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