Organization
IONIA COUNTY COMMUNITY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA J STRUBLE (REIMBURSEMENT SPECIALIST)
(616) 775-1018
Entity
Organization
Contact information
Practice address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
(616) 527-1330
Mailing address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
(616) 527-1330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774350393
—
MI
Enumeration date
03/08/2010
Last updated
03/08/2010
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