Organization
ELIZABETH UPJOHN COMMUNITY HEALING CENTER
Active
Organization
ELIZABETH UPJOHN COMMUNITY HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON CIESA LLMSW (EARLY CHILDHOOD SPECIALIST)
(269) 271-0229
Entity
Organization
Contact information
Practice address
1603 REDSTOCK AVE, PORTAGE, MI 49024-4143
(269) 779-9619
Mailing address
1603 REDSTOCK AVE, PORTAGE, MI 49024-4143
(269) 779-9619
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
MI
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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