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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