Namacray Inner Wellness, L.L.C.
Clinic/Center, Adult Mental Health in Gaylord, MI. Organization (NPI-2).
NPI number1831889757
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1831889757
- Entity type
- Organization (NPI-2)
- Legal business name
- Namacray Inner Wellness, L.L.C.
- Organization subpart
- No
- Enumeration date
- May 12, 2023
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | – | – | |
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | – | – |
Practice location
400 W Main St Ste 208Gaylord, MI 49735-1876
Phone 989-370-9157 · Fax 888-692-8456
Mailing address
3813 Deer TrlGaylord, MI 49735-8539
Phone 989-464-0714 · Fax 989-448-2421
Other practice locations
118 W Main St Ste C2
Gaylord, MI 49735-1378
Gaylord, MI 49735-1378
Phone 989-370-9157 · Fax 989-448-2421
Authorized official
Alicia Williamson
Administrator
9893709157
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