Eventually LLC
Community/Behavioral Health in Ann Arbor, MI. Organization (NPI-2).
NPI number1982169538
StatusActive
Last updated in NPPESFeb 7, 2019
Details
- NPI
- 1982169538
- Entity type
- Organization (NPI-2)
- Legal business name
- Eventually LLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2019
- Last updated
- Feb 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
455 E Eisenhower Pkwy Ste 300Ann Arbor, MI 48108-3324
Phone 734-707-6209
Mailing address
Po Box 602Chelsea, MI 48118-0602
Phone 734-707-6209
Authorized official
Frederik Siewertsz Van Reesema
Founder
7347076209
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