| River Journey Memory Clinic | |
|
28284 62nd Ave Lawton MI 49065-5613 | |
| (269) 547-7630 | |
| (269) 225-0607 |
| Full Name | River Journey Memory Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 28284 62nd Ave, Lawton, Michigan |
| Authorized Official Name and Position | Lisa Woodruff (NP/OWNER) |
| Authorized Official Contact | 2695477630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Journey Memory Clinic 28284 62nd Ave Lawton MI 49065-5613 Ph: (269) 547-7630 | River Journey Memory Clinic 28284 62nd Ave Lawton MI 49065-5613 Ph: (269) 547-7630 |
| NPI Number | 1326705294 |
|---|---|
| Provider Enumeration Date | 11/26/2021 |
| Last Update Date | 04/19/2023 |
| Certification Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326705294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |