| Domestic Violence Alternative Program Lc | |
|
131 S Winter St Adrian MI 49221-2602 | |
| (517) 215-1798 | |
| Not Available |
| Full Name | Domestic Violence Alternative Program Lc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 131 S Winter St, Adrian, Michigan |
| Authorized Official Name and Position | John Clark Bailey (DIRECTOR) |
| Authorized Official Contact | 5172151798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Domestic Violence Alternative Program Lc 131 S Winter St Adrian MI 49221-2602 Ph: (517) 215-1798 | Domestic Violence Alternative Program Lc 131 S Winter St Adrian MI 49221-2602 Ph: (517) 215-1798 |
| NPI Number | 1033530423 |
|---|---|
| Provider Enumeration Date | 01/02/2014 |
| Last Update Date | 01/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033530423 | NPI | - | NPPES |
| 1033348925 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1033348925 (Michigan) | Primary |
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