| Teal Lake Women's Residential | |
|
241 Wright Street Marquette MI 49855 | |
| (906) 228-7611 | |
| (906) 228-8156 |
| Full Name | Teal Lake Women's Residential |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 241 Wright Street, Marquette, Michigan |
| Authorized Official Name and Position | Kary A Hamilton (BILLING MANAGER) |
| Authorized Official Contact | 9062289699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teal Lake Women's Residential 97 S 4th St Ste C Ishpeming MI 49849-2168 Ph: (906) 228-9699 | Teal Lake Women's Residential 241 Wright Street Marquette MI 49855 Ph: (906) 228-7611 |
| NPI Number | 1932378858 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932378858 | NPI | - | NPPES |
| 3272541 | Medicaid | MI |
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