| Gmam | |
|
333 W. Washigton St. Martinsville IN 46151-1431 | |
| (765) 342-5600 | |
| (765) 342-5605 |
| Full Name | Gmam |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 333 W. Washigton St., Martinsville, Indiana |
| Authorized Official Name and Position | Brandon Sieg (PRESIDENT) |
| Authorized Official Contact | 7653425600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gmam Po Box 1414 Martinsville IN 46151-0414 Ph: (765) 342-5600 | Gmam 333 W. Washigton St. Martinsville IN 46151-1431 Ph: (765) 342-5600 |
| NPI Number | 1326286790 |
|---|---|
| Provider Enumeration Date | 01/23/2009 |
| Last Update Date | 01/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326286790 | NPI | - | NPPES |
| 200918350 A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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