# HURON RIVER PSYCHIATRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679393797
- **Authorized official:** RACHELLE WILLIAMS (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (734) 245-7822

## Contact information

- **Practice address:** 3200 W LIBERTY RD STE F, ANN ARBOR, MI 48103-9180
- **Practice address phone:** (734) 780-7080
- **Practice address fax:** (734) 545-8663
- **Mailing address:** 3200 W LIBERTY RD STE F1, ANN ARBOR, MI 48103-9746
- **Mailing address phone:** (734) 780-7080
- **Mailing address fax:** (734) 545-8663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2024
- **Last updated:** 11/20/2024