Organization
DELTA FAMILY CLINIC SOUTH PC
Active
Parent organization
DELTA FAMILY CLINIC SOUTH P.C
Other names
Delta Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DELTA FAMILY CLINIC SOUTH P.C
Authorized official
GERARD WILLIAMS PH.D (CFO/ ADNIMISTRATOR)
(810) 630-1152
Entity
Organization
Contact information
Practice address
901 N. EUCLID AVE., BAY CITY, MI 48706
(989) 671-9798
Mailing address
6195 MILLER RD., STE. A, SWARTZ CREEK, MI 48473
(810) 630-1152
(810) 630-9107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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