| Integro, Llc | |
|
1200 N West Ave Ste 300 Jackson MI 49202-2179 | |
| (517) 789-1234 | |
| (517) 784-7040 |
| Full Name | Integro, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1200 N West Ave, Jackson, Michigan |
| Authorized Official Name and Position | Tracy Roumell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5177891234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integro, Llc 1200 N West Ave Ste 300 Jackson MI 49202-2179 Ph: (517) 789-1234 | Integro, Llc 1200 N West Ave Ste 300 Jackson MI 49202-2179 Ph: (517) 789-1234 |
| NPI Number | 1942488234 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942488234 | NPI | - | NPPES |
| P10C810520 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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