Individual provider · Type 1 NPI
Brett Russell Wiley
Mental Health Clinic/Center (Including Community Mental Health Center) · Farwell, MI
NPI number
1275102493
Active
Practice location
16 Kapplinger Dr
Farwell, MI 48622-9405
Mailing address
PO Box 129
Farwell, MI 48622-0129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | AS180407234 (MI) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
About NPI 1275102493
Brett Russell Wiley's National Provider Identifier is 1275102493, issued on Jun 22, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Farwell, MI. The record was last updated on Jun 22, 2021.