Organization
SACRED HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA SELENA CALLIOTTE (PEER COACH)
(586) 943-6233
Entity
Organization
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Mailing address
2302 ASHLAND CT, PORT HURON, MI 48060-8177
(586) 943-6233
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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