| Three Willows Center, Llc | |
|
126 E Main St # 2 Middleville MI 49333-8391 | |
| (616) 259-5390 | |
| Not Available |
| Full Name | Three Willows Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 126 E Main St # 2, Middleville, Michigan |
| Authorized Official Name and Position | Nancy Starin (OWNER) |
| Authorized Official Contact | 5175284651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Willows Center, Llc 1774 Hammond Rd Hastings MI 49058-9574 Ph: (517) 528-4651 | Three Willows Center, Llc 126 E Main St # 2 Middleville MI 49333-8391 Ph: (616) 259-5390 |
| NPI Number | 1689346959 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689346959 | NPI | - | NPPES |
| 14505826 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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