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100 Malton Rd Ste 1 Negaunee MI 49866-2002 | |
| (906) 451-4889 | |
| (906) 228-8156 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 100 Malton Rd Ste 1, Negaunee, Michigan |
| Authorized Official Name and Position | Laura Urias Giuchin (SENIOR ACCOUNTANT) |
| Authorized Official Contact | 9062289699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
97 S 4th St Ishpeming MI 49849-2168 Ph: (906) 228-9699 | 100 Malton Rd Ste 1 Negaunee MI 49866-2002 Ph: (906) 451-4889 |
| NPI Number | 1790558286 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790558286 | NPI | - | NPPES |
| 3272541 | Medicaid | MI |
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