Provider Demographics
NPI:1417710062
Name:VENTURIT INC.
Entity Type:Organization
Organization Name:VENTURIT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHANDANA
Authorized Official - Middle Name:PRABODE
Authorized Official - Last Name:WEEBADDE
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTORAL CANDIDATE
Authorized Official - Phone:517-214-9041
Mailing Address - Street 1:325 E GRAND RIVER AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4384
Mailing Address - Country:US
Mailing Address - Phone:512-214-9041
Mailing Address - Fax:
Practice Address - Street 1:325 E GRAND RIVER AVE STE 225
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4384
Practice Address - Country:US
Practice Address - Phone:512-214-9041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness