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3285 122nd Ave Po Drawer 130 Allegan MI 49010-9511 | |
| (269) 673-6617 | |
| (269) 686-5201 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3285 122nd Ave, Allegan, Michigan |
| Authorized Official Name and Position | Marianne Huff (COUNTY DIRECTOR) |
| Authorized Official Contact | 2696736617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3285 122nd Ave Po Drawer 130 Allegan MI 49010-9511 Ph: (269) 673-6617 | 3285 122nd Ave Po Drawer 130 Allegan MI 49010-9511 Ph: (269) 673-6617 |
| NPI Number | 1477955920 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477955920 | NPI | - | NPPES |
| 774352861 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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