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Organization

ANOTHER PATH, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID R. HENDRICKS M.D. (PHYSICIAN)
(231) 942-6670
Entity
Organization

Contact information

Practice address
12100 S BENZONIA TRL, EMPIRE, MI 49630
(231) 941-6670
(231) 326-3026
Mailing address
12100 S BENZONIA TRL, EMPIRE, MI 49630-8503
(231) 941-6670
(231) 326-3026

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4301038246
MI
251S00000X
Community/Behavioral Health Agency
6801035572
MI

Other

Enumeration date
01/24/2008
Last updated
05/14/2018
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