| Fenton Behavioral Health Services | |
|
1122 N Leroy St Ste C Fenton MI 48430-2789 | |
| (810) 629-4224 | |
| (810) 629-4234 |
| Full Name | Fenton Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1122 N Leroy St Ste C, Fenton, Michigan |
| Authorized Official Name and Position | Duane Edward Laguire-quinn (OWNER/OPERATOR/PRACTITIONER) |
| Authorized Official Contact | 8106294224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenton Behavioral Health Services 1122 N Leroy St Ste C Fenton MI 48430-2789 Ph: (810) 629-4224 | Fenton Behavioral Health Services 1122 N Leroy St Ste C Fenton MI 48430-2789 Ph: (810) 629-4224 |
| NPI Number | 1427390178 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427390178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 250045 (Michigan) | Primary |
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