| Autism Center Of Northern Michigan | |
|
990 Garfield Woods Dr Ste B Traverse City MI 49686-5160 | |
| (231) 497-0555 | |
| Not Available |
| Full Name | Autism Center Of Northern Michigan |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 990 Garfield Woods Dr Ste B, Traverse City, Michigan |
| Authorized Official Name and Position | Jordan P Boudreau (OWNER) |
| Authorized Official Contact | 2314970555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Center Of Northern Michigan 990 Garfield Woods Dr Ste B Traverse City MI 49686-5160 Ph: (231) 497-0555 | Autism Center Of Northern Michigan 990 Garfield Woods Dr Ste B Traverse City MI 49686-5160 Ph: (231) 497-0555 |
| NPI Number | 1598007171 |
|---|---|
| Provider Enumeration Date | 03/21/2013 |
| Last Update Date | 03/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598007171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-09-5852 (Michigan) | Primary |
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