Organization
CLINTON,EATON, INGHAM, COMMUNITY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA S FLORY (REIMBURSEMENT MANAGER)
(517) 346-8209
Entity
Organization
Contact information
Practice address
812 E JOLLY RD, SUITE 210, LANSING, MI 48910-6818
(517) 346-8200
(517) 346-8219
Mailing address
812 E JOLLY RD, SUITE 210, LANSING, MI 48910-6818
(517) 346-8200
(517) 346-8219
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17080001
—
MI
Enumeration date
05/12/2010
Last updated
05/12/2010
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