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G3500 Flushing Rd Ste 140 Flint MI 48504-4235 | |
| (810) 941-4223 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | G3500 Flushing Rd Ste 140, Flint, Michigan |
| Authorized Official Name and Position | Lisa Leane Horne (OWNER) |
| Authorized Official Contact | 8109414223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 310985 Flint MI 48531-0985 Ph: () - | G3500 Flushing Rd Ste 140 Flint MI 48504-4235 Ph: (810) 941-4223 |
| NPI Number | 1053871376 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053871376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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