D.a. Blodgett - St John's
D.a. Blodgett - St John's is a Community/Behavioral Health Agency in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2010.
- Licensed in
- MI
- In the registry since
- 2010
Practice location Address checks out
805 Leonard St NEGrand Rapids, MI 49503-1138
Phone: (616) 451-2021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 6801088412 (MI) |
|---|
Record details
| NPI number | 1861701229 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Benjamin Brower — Kssn Site Team Clinician · (616) 826-6063 |
| NPI enumerated | October 4, 2010 |
| Last updated in NPPES | October 4, 2010 |
| Mailing address | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 |
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