Organization · NPI-2

Arbor Circle Corporation

Social Worker, Clinical · Grand Rapids, MI

NPI number1174601512

StatusActive

Last updated in NPPESJan 4, 2023

Details

NPI: 1174601512
Entity type: Organization (NPI-2)
Legal business name: Arbor Circle Corporation
Organization subpart: No
Enumeration date: Nov 2, 2006
Certification date: Jan 4, 2023
Last updated: Jan 4, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–
103TA0400X	Psychologist, Addiction (Substance Use Disorder)	–	–
103TC2200X	Psychologist, Clinical Child & Adolescent	–	–
106H00000X	Marriage & Family Therapist	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
207RA0401X	Internal Medicine, Addiction Medicine	4301034105	MI
363A00000X	Physician Assistant	5601003749	MI
2080P0006X	Pediatrics, Developmental - Behavioral Pediatrics	4301069203	MI

Practice location

1115 Ball Ave Ne
Grand Rapids, MI 49505-5904

Phone 616-456-7775 · Fax 616-456-8568

Mailing address

1115 Ball Ave Ne
Grand Rapids, MI 49505-5904

Phone 616-456-7775 · Fax 616-456-8568

Authorized official

Cathy Cardosa
Human Resources Manager
6164567775

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