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8225 Moorsbridge Rd Portage MI 49024-7845 | |
| (800) 395-3223 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8225 Moorsbridge Rd, Portage, Michigan |
| Authorized Official Name and Position | Jillian Jones (SENIOR BILLING AND CRED. SPECIALIST) |
| Authorized Official Contact | 8003953223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
26545 American Dr Southfield MI 48034-6115 Ph: () - | 8225 Moorsbridge Rd Portage MI 49024-7845 Ph: (800) 395-3223 |
| NPI Number | 1407545718 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407545718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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