| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1 Hurley Plz, Flint, Michigan |
| Authorized Official Name and Position | Kimberly Ecker (DIRECTOR OF PROFESSIONAL BILLING) |
| Authorized Official Contact | 8102629952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1 Hurley Plz Flint MI 48503-5902 Ph: (810) 262-9255 | 1 Hurley Plz Flint MI 48503-5902 Ph: (810) 262-9255 |
| NPI Number | 1700058146 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700058146 | NPI | - | NPPES |
| 750910736 | Other | MI | BLUE SHIELD OPC |
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