| Doublecare Aba | |
|
77 Monroe Center St Nw Ste 600 Grand Rapids MI 49503-2911 | |
| (646) 762-1600 | |
| (646) 769-1655 |
| Full Name | Doublecare Aba |
|---|---|
| Speciality | Clinic/center |
| Location | 77 Monroe Center St Nw Ste 600, Grand Rapids, Michigan |
| Authorized Official Name and Position | Jacob Appel (MANAGER) |
| Authorized Official Contact | 6467621600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doublecare Aba 77 Monroe Center St Nw Ste 600 Grand Rapids MI 49503-2911 Ph: (646) 762-1600 | Doublecare Aba 77 Monroe Center St Nw Ste 600 Grand Rapids MI 49503-2911 Ph: (646) 762-1600 |
| NPI Number | 1326880568 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326880568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 103K00000X | Behavior Analyst | (NU) | Secondary |
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