Organization
MATTIOLI MENTAL HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY RALPH MATTIOLI DO (OWNER)
(810) 498-9455
Entity
Organization
Contact information
Practice address
10524 GRAND RIVER RD STE 101, BRIGHTON, MI 48116-9559
(810) 498-9455
Mailing address
10524 GRAND RIVER RD STE 101, BRIGHTON, MI 48116-9559
(810) 498-9455
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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