Organization
RASPBERRY MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS DALE COUSINEAU (CO OWNER)
(810) 636-3900
Entity
Organization
Contact information
Practice address
6141 S STATE RD, GOODRICH, MI 48438-8849
(810) 636-3900
(810) 636-3900
Mailing address
6141 S STATE RD, GOODRICH, MI 48438-8849
(810) 636-3900
(810) 636-3900
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
AF250071517
MI
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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