Organization
RURAL HUB PSYCHIATRY SERVICES MANAGEMENT COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA RENNELLS PMHNP-BC, FNP-BC (AUTHORIZED OFFICIAL)
(989) 675-7910
Entity
Organization
Contact information
Practice address
104 W EXCHANGE ST, OWOSSO, MI 48867-2816
(989) 675-7910
(989) 256-0767
Mailing address
8078 HOLLISTER RD, LAINGSBURG, MI 48848-9230
(989) 675-7910
(989) 256-0767
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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