Organization
PROFESSIONAL PSYCHIATRIC AND ADDICTION SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS LEROY FOSTER MD (MEDICAL DIRECTOR)
(989) 893-2121
Entity
Organization
Contact information
Practice address
690 S TRUMBULL ST, SUITE 2, BAY CITY, MI 48708-7692
(989) 893-2121
(989) 893-2177
Mailing address
690 S TRUMBULL ST, SUITE 2, BAY CITY, MI 48708-7692
(989) 893-2121
(989) 893-2177
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
DF044754
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4318082
—
MI
Enumeration date
11/05/2009
Last updated
11/05/2009
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