Individual
CHRISTA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 S SHEPHERD RD, MT PLEASANT, MI 48858-8966
(989) 775-4871
Mailing address
2800 S SHEPHERD RD, MT PLEASANT, MI 48858-8966
(989) 775-4871
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
201164
MI
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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