Organization
GERBER MEMORIAL HEALTH SERVICES
Active
Parent organization
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION
Other names
Counseling Center of GMHS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION
Authorized official
MR. RANDALL J STASIK (CEO)
(231) 924-1340
Entity
Organization
Contact information
Practice address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(231) 924-3300
(231) 924-1164
Mailing address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(231) 924-3300
(231) 924-1164
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
01/08/2010
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