Rural Hub Psychiatry Services Management Company LLC

NPI #1023868338 in Owosso, Michigan

Provider Information

NPI Number: 1023868338
Entity Type: Organization
Organization Name: Rural Hub Psychiatry Services Management Company LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 27, 2024
Last Updated: Mar 27, 2024

Practice Location

Address: 104 W EXCHANGE ST
City: Owosso
State: Michigan
ZIP Code: 48867-2816
Phone: (989) 675-7910

Authorized Official

Name: JENNA RENNELLS, PMHNP-BC, FNP-BC
Title: AUTHORIZED OFFICIAL
Phone: (989) 675-7910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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