Provider Demographics
NPI:1548459787
Name:ARBOR CIRCLE CORPORATION
Entity type:Organization
Organization Name:ARBOR CIRCLE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-456-7775
Mailing Address - Street 1:740 36TH ST SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49548-2344
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:740 36TH ST SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49548-2344
Practice Address - Country:US
Practice Address - Phone:616-475-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARBOR CIRCLE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-23
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI410343251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health