Claystone Clinical Associates Plc
Psychiatry & Neurology, Psychiatry in Grand Rapids, MI. Organization (NPI-2).
NPI number1336668698
StatusActive
Last updated in NPPESMay 23, 2024
Details
- NPI
- 1336668698
- Entity type
- Organization (NPI-2)
- Legal business name
- Claystone Clinical Associates Plc
- Organization subpart
- No
- Enumeration date
- Sep 18, 2017
- Certification date
- May 23, 2024
- Last updated
- May 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
2401 Camelot Ct Se Ste EGrand Rapids, MI 49546-6083
Phone 616-648-2289 · Fax 616-949-3018
Mailing address
2401 Camelot Ct Se Ste EGrand Rapids, MI 49546-6083
Phone 616-949-7460 · Fax 616-949-3018
Authorized official
Carole Chisholm
Ceo
6169497460
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