AUTHENTIC LIFE CENTER LLC

NILES, MI
NPI1871102673
Entity TypeOrganization
Authorized ContactTIFFANY RUSSELL
Owner
574-323-6996
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-07-28
Last Update Date2020-07-28
Business Address
AUTHENTIC LIFE CENTER LLC
210 E MAIN ST STE 16
NILES, MI 49120-2376
Phone number: 269-409-1276
Mailing Address
AUTHENTIC LIFE CENTER LLC
78 SUNSET LN
NILES, MI 49120-9344
Phone number: 574-323-6996
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