Organization
TRAUMA AND ADDICTION SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW STACK MD (OWNER)
(989) 287-0662
Entity
Organization
Contact information
Practice address
121 N PINE RIVER ST, ITHACA, MI 48847-1039
(989) 287-0662
Mailing address
1551 N FERRIS RD, SUMNER, MI 48889-8718
(989) 287-0662
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/11/2024
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