Comprehensive Therapy Center Inc
Voluntary or Charitable Agency in Grand Rapids, MI(View on Map)
Legal Business Name
Comprehensive Therapy Center Inc
NPI Number
1073658597
NPI Type
Organization
Enumeration Date
02/21/2007
Specialties
(Taxonomies)Code
251V00000X
225X00000X
103T00000X
235Z00000X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Michigan
Michigan
Michigan
Michigan
License Number
766216
5201006103
6301002435
7101000658
Contact
Information
Purpose
Mailing
Location
Address
2505 ARDMORE ST SE
2505 ARDMORE ST SE
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49506-4924
49506-4924
Country
US
US
Telephone Number
(616) 559-1054
(616) 559-1054
Authorized Official
Name
Jean Silbar
Title or Position
EXECUTIVE DIRECTOR
Telephone Number
(616) 559-1054
Identifiers
Identifier
4866078
QMXPR0018904
Identifier State
MI
MI
Identifier Issuer
Unknown
MOLINA
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/12/2014
Provider Address
Other Voluntary or Charitable Agencies in Grand Rapids, Michigan:
Ronald Mcdonald House Of Western Michigan, Inc.
Grand Rapids, MISpecialty: Voluntary or Charitable Agency (Primary)