Great Lakes Ttc,llc
NPI #1659610608 in Petoskey, Michigan
Provider Information
- NPI Number
- 1659610608
- Entity Type
- Organization
- Organization Name
- Great Lakes Ttc,llc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 12, 2013
- Last Updated
- Feb 12, 2013
Practice Location
Authorized Official
- Name
- DEREK EVERETT JOHNSON, LMSW
- Title
- OWNER
- Phone
- (231) 487-2415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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