| Red Pine Run Llc | |
|
5454 County Road 457 Newberry MI 49868-7775 | |
| (906) 869-2961 | |
| Not Available |
| Full Name | Red Pine Run Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5454 County Road 457, Newberry, Michigan |
| Authorized Official Name and Position | Heather Thornton (OWBER) |
| Authorized Official Contact | 9068692961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Pine Run Llc 5454 County Road 457 Newberry MI 49868-7775 Ph: () - | Red Pine Run Llc 5454 County Road 457 Newberry MI 49868-7775 Ph: (906) 869-2961 |
| NPI Number | 1902761018 |
|---|---|
| Provider Enumeration Date | 12/20/2025 |
| Last Update Date | 12/20/2025 |
| Certification Date | 12/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902761018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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