| Raspberry Manor | |
|
6141 S State Rd Goodrich MI 48438-8849 | |
| (810) 636-3900 | |
| (810) 636-3900 |
| Full Name | Raspberry Manor |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6141 S State Rd, Goodrich, Michigan |
| Authorized Official Name and Position | Curtis Dale Cousineau (CO OWNER) |
| Authorized Official Contact | 8106363900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raspberry Manor 6141 S State Rd Goodrich MI 48438-8849 Ph: (810) 636-3900 | Raspberry Manor 6141 S State Rd Goodrich MI 48438-8849 Ph: (810) 636-3900 |
| NPI Number | 1609135409 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609135409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | AF250071517 (Michigan) | Primary |
Christopher A Abeare Phd Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5633 Brigham Rd, Goodrich, MI 48438 Phone: 810-771-8381 |