| Patricia A Wood Employee Assistance Services Llc | |
|
1 Misco Dr Whitehall MI 49461-1755 | |
| (231) 894-7549 | |
| Not Available |
| Full Name | Patricia A Wood Employee Assistance Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Misco Dr, Whitehall, Michigan |
| Authorized Official Name and Position | Patricia A Wood (OWNER) |
| Authorized Official Contact | 2318947549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Wood Employee Assistance Services Llc 6136 Duck Lake Rd Whitehall MI 49461-9679 Ph: (231) 730-2273 | Patricia A Wood Employee Assistance Services Llc 1 Misco Dr Whitehall MI 49461-1755 Ph: (231) 894-7549 |
| NPI Number | 1083840466 |
|---|---|
| Provider Enumeration Date | 05/31/2009 |
| Last Update Date | 05/31/2009 |
| Medicare PECOS PAC ID | 1254485071 |
|---|---|
| Medicare Enrollment ID | O20090813000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083840466 | NPI | - | NPPES |
| 1689868663 | Other | MI | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6801017827 (Michigan) | Primary |
| Provider Name | Patricia A Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689868663 PECOS PAC ID: 8628122447 Enrollment ID: I20090813000324 |
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