| T-3 Trauma To Triumph | |
|
5555 Pocassett Way Holt MI 48842-8723 | |
| (517) 643-0663 | |
| Not Available |
| Full Name | T-3 Trauma To Triumph |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5555 Pocassett Way, Holt, Michigan |
| Authorized Official Name and Position | Diontwanette Mack-parker (CEO) |
| Authorized Official Contact | 5176430663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T-3 Trauma To Triumph 5555 Pocassett Way Holt MI 48842-8723 Ph: (517) 643-0663 | T-3 Trauma To Triumph 5555 Pocassett Way Holt MI 48842-8723 Ph: (517) 643-0663 |
| NPI Number | 1659267326 |
|---|---|
| Provider Enumeration Date | 06/17/2025 |
| Last Update Date | 06/17/2025 |
| Certification Date | 06/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659267326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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