| Lighthouse Autism Center - Mi | |
|
4625 W Kl Ave Kalamazoo MI 49006-6209 | |
| (574) 387-4313 | |
| (574) 204-2868 |
| Full Name | Lighthouse Autism Center - Mi |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4625 W Kl Ave, Kalamazoo, Michigan |
| Authorized Official Name and Position | Colin Sheridan (PRESIDENT) |
| Authorized Official Contact | 5743874313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Autism Center - Mi 215 Red Coach Dr Mishawaka IN 46545-8307 Ph: (574) 387-4313 | Lighthouse Autism Center - Mi 4625 W Kl Ave Kalamazoo MI 49006-6209 Ph: (574) 387-4313 |
| NPI Number | 1285174912 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285174912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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