Whalio Doctors

NPI 1306334115

Endeavor Behavioral Health, LLC

Organisation Early Intervention Provider Agency Grand Rapids, MI

Practice location

Address
225 Michigan St. NW #3520, Grand Rapids, MI 49501-3520
Phone
(248) 798-0474

Authorised official

Name
Beth a Boogholt
Title
Chief Executive Officer
Phone
(248) 798-0474

Registered specialties (2)

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X
Developmental Disabilities Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QD1600X

Registry record

NPI
1306334115
Entity type
Organization
NPI issued
26 Apr 2018
Record last updated
26 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.