GREAT LAKES TTC,LLC

NPI # 

Practice Address:

2206 Mitchell Park Dr Ste 10

Petoskey, MI, 49770-8674

Practice Phone:

231-487-2415

License Number:

6801089396

License State:

MI

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Adult Mental Health

Taxonomy Code:

261QM0850X

Updated by NPPES on 2/12/2013. You can view the original data set for NPI # 1659610608 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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GREAT LAKES TTC,LLC's

CMS CPT® coding data

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GREAT LAKES TTC,LLC's

CMS prescription data

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