| Lapeer Cmh - Child Waiver | |
|
1570 Suncrest Dr Lapeer MI 48446-1154 | |
| (810) 667-0500 | |
| Not Available |
| Full Name | Lapeer Cmh - Child Waiver |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1570 Suncrest Dr, Lapeer, Michigan |
| Authorized Official Name and Position | Kristin Fantin (LEAD SUPPORT STAFF) |
| Authorized Official Contact | 8106670500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lapeer Cmh - Child Waiver 1570 Suncrest Dr Lapeer MI 48446-1154 Ph: () - | Lapeer Cmh - Child Waiver 1570 Suncrest Dr Lapeer MI 48446-1154 Ph: (810) 667-0500 |
| NPI Number | 1982958443 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 11/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982958443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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