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1214 Cooper St Jackson MI 49202-2496 | |
| (517) 789-7885 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1214 Cooper St, Jackson, Michigan |
| Authorized Official Name and Position | Sandra Schopmeyer (OWNER) |
| Authorized Official Contact | 5177897885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1214 Cooper St Jackson MI 49202-2496 Ph: (517) 789-7885 | 1214 Cooper St Jackson MI 49202-2496 Ph: (517) 789-7885 |
| NPI Number | 1619303278 |
|---|---|
| Provider Enumeration Date | 09/16/2013 |
| Last Update Date | 09/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619303278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801088931 (Michigan) | Primary |
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