GERIATRIC PSYCHIATRIC SERVICES PLLC

WARREN, MI
NPI1104063239
Other NameNURSE PRACTITIONER GROUP
Entity TypeOrganization
Authorized ContactROBERT A CLEMENTE
Manager
586-620-8100
Organization Subpart ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
Additional Taxonomies363AM0700X Physician Assistant, Medical
364SA2200X Clinical Nurse Specialist, Adult Health
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
Enumeration Date2009-01-12
Last Update Date2010-10-25
Business Address
GERIATRIC PSYCHIATRIC SERVICES PLLC
28800 RYAN RD SUITE 320
WARREN, MI 48092-4272
Phone number: 586-620-8100
Mailing Address
GERIATRIC PSYCHIATRIC SERVICES PLLC
28800 RYAN ROAN SUITE 320
WARREN, MI 48092-4269
Phone number: 586-620-8100