| Jr Brill Inc | |
|
4345 Meigs Ave Waterford MI 48329-1877 | |
| (248) 431-1047 | |
| Not Available |
| Full Name | Jr Brill Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4345 Meigs Ave, Waterford, Michigan |
| Authorized Official Name and Position | Robert Julian Brill (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2484311047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jr Brill Inc 8125 Pepper Rd Holly MI 48442-8657 Ph: (248) 431-1047 | Jr Brill Inc 4345 Meigs Ave Waterford MI 48329-1877 Ph: (248) 431-1047 |
| NPI Number | 1477190155 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Medicare PECOS PAC ID | 8527479542 |
|---|---|
| Medicare Enrollment ID | O20201124001190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477190155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Robert J Brill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306229554 PECOS PAC ID: 0749556744 Enrollment ID: I20171018002780 |
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