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Cj12 Corporation
Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Ledge, Michigan
NPI 1649915885

Cj12 Corporation is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Grand Ledge, MI and is specialized in Mental Health (Including Community Mental Health Center). Cj12 Corporation practices in Grand Ledge, MI. The NPI Number for Cj12 Corporation is 1649915885 and holds a License No. (Michigan).

The current practice location address for Cj12 Corporation is 11907 Stone Bluff Dr, Grand Ledge, MI and can be reached out via phone at 517-242-8895.

Location: 11907 Stone Bluff Dr, Grand Ledge, MI, 48837-2435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649915885
Provider Name
Cj12 Corporation
Credential
Provider Entity Type
Organization
Address
11907 Stone Bluff Dr, Grand Ledge, MI, 48837-2435
Phone Number
517-242-8895
Fax Number
Provider Enumeration Date
05/02/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11907 Stone Bluff Dr
City
Grand Ledge
State
Michigan
Zip
48837-2435
Phone Number
517-242-8895
Fax Number
person
Provider Business Mailing Address Details
Address
11907 Stone Bluff Dr
City
Grand Ledge
State
Michigan
Zip
48837-2435
Phone Number
517-242-8895
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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