Bryans Treatment Center | |
6648 South Ave Holland OH 43528 | |
(141) 945-08273 | |
Not Available |
Full Name | Bryans Treatment Center |
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Speciality | Counselor |
Location | 6648 South Ave, Holland, Ohio |
Authorized Official Name and Position | Teresa Nickole Dennis (CEO) |
Authorized Official Contact | 4194508273 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bryans Treatment Center 6648 South Ave Holland OH 43528-9507 Ph: (141) 945-08273 | Bryans Treatment Center 6648 South Ave Holland OH 43528 Ph: (141) 945-08273 |
NPI Number | 1285143594 |
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Provider Enumeration Date | 09/29/2017 |
Last Update Date | 09/29/2017 |
Medicare PECOS PAC ID | 7012335805 |
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Medicare Enrollment ID | O20200910001606 |
Identifier | Type | State | Issuer |
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1285143594 | NPI | - | NPPES |
Provider Name | David L Grossman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972501971 PECOS PAC ID: 8224019856 Enrollment ID: I20080717000426 |
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