Organization
INTEGRATED SOLUTIONS II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
207 E BELLEVUE ST, LESLIE, MI 49251-9373
(517) 589-8252
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704152658
MI
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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