Trauma And Addiction Solutions Pllc | |
121 N Pine River St Ithaca MI 48847-1039 | |
(989) 287-0662 | |
Not Available |
Full Name | Trauma And Addiction Solutions Pllc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 121 N Pine River St, Ithaca, Michigan |
Authorized Official Name and Position | Matthew Stack (OWNER) |
Authorized Official Contact | 9892870662 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Trauma And Addiction Solutions Pllc 1551 N Ferris Rd Sumner MI 48889-8718 Ph: (989) 287-0662 | Trauma And Addiction Solutions Pllc 121 N Pine River St Ithaca MI 48847-1039 Ph: (989) 287-0662 |
NPI Number | 1174381974 |
---|---|
Provider Enumeration Date | 03/07/2024 |
Last Update Date | 03/11/2024 |
Certification Date | 03/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174381974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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