| Organization Name: | EMPLOYEE ASSISTANCE CENTER FULTON |
| NPI Number: | 1104108836 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS SHEA (CEO) |
| Mailing Address: | 321 Fulton Grand Haven |
| State: | MI US |
| Postal Code: | 49417 |
| Phone Number: | 8002270905 |
| Fax Number: | 6169753565 |
| NPI Enumeration Date: | 09/20/2011 |
| NPI Last Update Date: | 09/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |