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4205 Charlar Dr Ste 3 Holt MI 48842-6809 | |
| (517) 367-0670 | |
| (517) 367-0681 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 4205 Charlar Dr Ste 3, Holt, Michigan |
| Authorized Official Name and Position | Joshua M Smith (OWNER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5173670670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4205 Charlar Dr Ste 3 Holt MI 48842-6809 Ph: (517) 367-0670 | 4205 Charlar Dr Ste 3 Holt MI 48842-6809 Ph: (517) 367-0670 |
| NPI Number | 1982063889 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982063889 | NPI | - | NPPES |
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