| Storm Caryl, Llc | |
|
132 Deer Ridge Ln Brooklyn MI 49230-9596 | |
| (517) 902-5391 | |
| Not Available |
| Full Name | Storm Caryl, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 132 Deer Ridge Ln, Brooklyn, Michigan |
| Authorized Official Name and Position | Storm Caryl (OWNER) |
| Authorized Official Contact | 5179025391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Storm Caryl, Llc 132 Deer Ridge Ln Brooklyn MI 49230-9596 Ph: (517) 902-5391 | Storm Caryl, Llc 132 Deer Ridge Ln Brooklyn MI 49230-9596 Ph: (517) 902-5391 |
| NPI Number | 1407595903 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 06/02/2022 |
| Certification Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407595903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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