| Haith Place Inc | |
|
2460 Burton St Se Ste 101 Grand Rapids MI 49546-4806 | |
| (616) 942-4525 | |
| (616) 942-4535 |
| Full Name | Haith Place Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2460 Burton St Se Ste 101, Grand Rapids, Michigan |
| Authorized Official Name and Position | L'tanya A Haith (PRESIDENT/OWNER) |
| Authorized Official Contact | 6169424525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haith Place Inc Po Box 120125 Grand Rapids MI 49528-0103 Ph: (616) 235-2090 | Haith Place Inc 2460 Burton St Se Ste 101 Grand Rapids MI 49546-4806 Ph: (616) 942-4525 |
| NPI Number | 1578676797 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578676797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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