| Bryans Treatment Center | |
|
6648 South Ave Holland OH 43528 | |
| (141) 945-08273 | |
| Not Available |
| Full Name | Bryans Treatment Center |
|---|---|
| Speciality | Counselor |
| Location | 6648 South Ave, Holland, Ohio |
| Authorized Official Name and Position | Teresa Nickole Dennis (CEO) |
| Authorized Official Contact | 4194508273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryans Treatment Center 6648 South Ave Holland OH 43528-9507 Ph: (141) 945-08273 | Bryans Treatment Center 6648 South Ave Holland OH 43528 Ph: (141) 945-08273 |
| NPI Number | 1285143594 |
|---|---|
| Provider Enumeration Date | 09/29/2017 |
| Last Update Date | 09/29/2017 |
| Medicare PECOS PAC ID | 7012335805 |
|---|---|
| Medicare Enrollment ID | O20200910001606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285143594 | NPI | - | NPPES |
| Provider Name | David L Grossman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972501971 PECOS PAC ID: 8224019856 Enrollment ID: I20080717000426 |
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