Heron Ridge Associates Plc
Clinic/Center, Mental Health (Including Community Mental Health Center) in Plymouth, MI. Organization (NPI-2).
Details
- NPI
- 1295905727
- Entity type
- Organization (NPI-2)
- Legal business name
- Heron Ridge Associates Plc
- Organization subpart
- No
- Enumeration date
- Mar 12, 2008
- Certification date
- Dec 30, 2022
- Last updated
- Dec 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 822246 | MI | Yes |
Practice location
705 S Main StSuite 280
Plymouth, MI 48170-2089
Phone 734-454-3560 · Fax 734-454-3570
Mailing address
3694 Clarkston RdSuite D
Clarkston, MI 48348-5213
Phone 248-693-8880 · Fax 248-391-7478
Authorized official
Elliott Richelson
President, Secretary, Treasurer
9046054986
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