Organization · Type 2 NPI

Theethaye L. Ittiara, M.d., P.c.

Community/Behavioral Health Agency · Adrian, MI

NPI number 1124289806 Active

Practice location

142 E Maumee St
Adrian, MI 49221-2735

Call (517) 263-5810 Map

Fax (517) 263-5810

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XTI031889 (MI)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1124289806

Theethaye L. Ittiara, M.d., P.c.'s National Provider Identifier is 1124289806, issued on Jun 24, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Adrian, MI. The record was last updated on Jun 24, 2008.