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913 W Holmes Rd Ste 160 Lansing MI 48910-0411 | |
| (517) 580-8087 | |
| (517) 275-4830 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 913 W Holmes Rd Ste 160, Lansing, Michigan |
| Authorized Official Name and Position | Denise Brown-chillers (EXECUTIVE DIRECTOR CLINICAL SERVICE) |
| Authorized Official Contact | 5174104828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
913 W Holmes Rd Ste 160 Lansing MI 48910-0411 Ph: (517) 580-8087 | 913 W Holmes Rd Ste 160 Lansing MI 48910-0411 Ph: (517) 580-8087 |
| NPI Number | 1871004333 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 09/28/2024 |
| Certification Date | 09/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871004333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801098424 (Michigan) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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