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835 Louisa St Ste 205 Lansing MI 48911-5200 | |
| (313) 497-2665 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 835 Louisa St Ste 205, Lansing, Michigan |
| Authorized Official Name and Position | Farzana Islam (CEO) |
| Authorized Official Contact | 7134489918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
835 Louisa St Ste 205 Lansing MI 48911-5200 Ph: (313) 497-2665 | 835 Louisa St Ste 205 Lansing MI 48911-5200 Ph: (313) 497-2665 |
| NPI Number | 1497502504 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497502504 | NPI | - | NPPES |
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