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6929 Calhoun Rd Albion MI 49224-9651 | |
| (517) 554-8788 | |
| (517) 465-7103 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6929 Calhoun Rd, Albion, Michigan |
| Authorized Official Name and Position | Renae Michelle Clark (LICENSEE DESIGNEE, ADMINISTRATOR) |
| Authorized Official Contact | 5175548788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6929 Calhoun Rd Albion MI 49224-9651 Ph: (517) 554-8788 | 6929 Calhoun Rd Albion MI 49224-9651 Ph: (517) 554-8788 |
| NPI Number | 1750767257 |
|---|---|
| Provider Enumeration Date | 08/06/2015 |
| Last Update Date | 08/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750767257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | AS130374875 (Michigan) | Primary |
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