Organization
BREAKING THE LINKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK O'REILLY (CHAPLAIN)
(616) 745-7389
Entity
Organization
Contact information
Practice address
630 SCHULTZ ST, SPARTA, MI, SPARTA, MI 49345-9426
(616) 745-7389
Mailing address
630 SCHULTZ ST, SPARTA, MI 49345
(616) 745-7389
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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