Organization
PINTAR PSYCHOLOGICAL SERVICES, PC
Active
Other names
The Lighthouse Neurological Rehabiliation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE MICHAEL PINTAR PH.D. (CLINICAL PSYCHOLOGIST)
(231) 714-7054
Entity
Organization
Contact information
Practice address
12719 S WEST BAY SHORE DR, SUITE #9, TRAVERSE CITY, MI 49684-5489
(231) 714-7054
Mailing address
12719 S WEST BAY SHORE DR, SUITE #9, TRAVERSE CITY, MI 49684-5489
(231) 714-7054
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301013916
MI
320700000X
Physical Disabilities Residential Treatment Facility
6301013916
MI
323P00000X
Psychiatric Residential Treatment Facility
6301013916
MI
Other
Enumeration date
10/29/2008
Last updated
04/02/2012
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