| This Iz Me | |
|
939 Waterloo Ave Monroe MI 48161-1660 | |
| (734) 652-4573 | |
| (734) 621-4026 |
| Full Name | This Iz Me |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 939 Waterloo Ave, Monroe, Michigan |
| Authorized Official Name and Position | Jennifer A Kelley (OWNER) |
| Authorized Official Contact | 7346524573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| This Iz Me 939 Waterloo Ave Monroe MI 48161-1660 Ph: (734) 652-4573 | This Iz Me 939 Waterloo Ave Monroe MI 48161-1660 Ph: (734) 652-4573 |
| NPI Number | 1508525858 |
|---|---|
| Provider Enumeration Date | 12/14/2021 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508525858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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