Organization
CLINTON COUNTY FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE ANN BARKS RNBA (PREVENTION SERVICES COORDINATOR)
(989) 224-1173
Entity
Organization
Contact information
Practice address
4179 S US HIGHWAY 27, SAINT JOHNS, MI 48879-9110
(989) 224-0598
Mailing address
4179 S US HIGHWAY 27, SAINT JOHNS, MI 48879-9110
(989) 224-0598
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
4228851
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4228851
—
MI
Enumeration date
07/23/2007
Last updated
07/23/2007
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