| Clinton,eaton, Ingham, Community Mental Health | |
|
812 E Jolly Rd Suite 210 Lansing MI 48910-6818 | |
| (517) 346-8200 | |
| (517) 346-8219 |
| Full Name | Clinton,eaton, Ingham, Community Mental Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 812 E Jolly Rd, Lansing, Michigan |
| Authorized Official Name and Position | Pamela S Flory (REIMBURSEMENT MANAGER) |
| Authorized Official Contact | 5173468209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton,eaton, Ingham, Community Mental Health 812 E Jolly Rd Suite 210 Lansing MI 48910-6818 Ph: (517) 346-8200 | Clinton,eaton, Ingham, Community Mental Health 812 E Jolly Rd Suite 210 Lansing MI 48910-6818 Ph: (517) 346-8200 |
| NPI Number | 1992023261 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 05/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992023261 | NPI | - | NPPES |
| 17080001 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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