Organization
PINE RIVER BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FILLMORE (OWNER)
(906) 322-0091
Entity
Organization
Contact information
Practice address
13949 ROBINHOOD LN, LEROY, MI 49655-9386
(906) 322-0091
Mailing address
13949 ROBINHOOD LN, LEROY, MI 49655-9386
(906) 322-0091
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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