| Different Spectrums Corp | |
|
4101 Copper Valley Dr Lafayette IN 47909-8059 | |
| (248) 821-2659 | |
| Not Available |
| Full Name | Different Spectrums Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4101 Copper Valley Dr, Lafayette, Indiana |
| Authorized Official Name and Position | Nazeer Toufic Zerka (COO) |
| Authorized Official Contact | 2488212659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Different Spectrums Corp 4101 Copper Valley Dr Lafayette IN 47909-8059 Ph: (248) 821-2659 | Different Spectrums Corp 4101 Copper Valley Dr Lafayette IN 47909-8059 Ph: (248) 821-2659 |
| NPI Number | 1336971357 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336971357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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