Healthcare Provider Details

I. General information

NPI: 1417710062
Provider Name (Legal Business Name): VENTURIT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 E GRAND RIVER AVE STE 225
EAST LANSING MI
48823-4384
US

IV. Provider business mailing address

325 E GRAND RIVER AVE STE 225
EAST LANSING MI
48823-4384
US

V. Phone/Fax

Practice location:
  • Phone: 512-214-9041
  • Fax:
Mailing address:
  • Phone: 512-214-9041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CHANDANA PRABODE WEEBADDE
Title or Position: CEO
Credential: DOCTORAL CANDIDATE
Phone: 517-214-9041