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Theethaye L. Ittiara, M.d., P.c.
Community/Behavioral Health Agency in Adrian, Michigan
NPI 1124289806

Theethaye L. Ittiara, M.d., P.c. is a Community/Behavioral Health Agency based in Adrian, MI. Theethaye L. Ittiara, M.d., P.c. practices in Adrian, MI. The NPI Number for Theethaye L. Ittiara, M.d., P.c. is 1124289806 and holds a License No. TI031889 (Michigan).

The current practice location address for Theethaye L. Ittiara, M.d., P.c. is 142 E Maumee St, Adrian, MI and can be reached out via phone at 517-263-5810 and via fax at 517-263-5810.

Location: 142 E Maumee St, Adrian, MI, 49221-2735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124289806
Provider Name
Theethaye L. Ittiara, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
142 E Maumee St, Adrian, MI, 49221-2735
Phone Number
517-263-5810
Fax Number
517-263-5810
Provider Enumeration Date
06/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
142 E Maumee St
City
Adrian
State
Michigan
Zip
49221-2735
Phone Number
517-263-5810
Fax Number
517-263-5810
person
Provider Business Mailing Address Details
Address
142 E Maumee St
City
Adrian
State
Michigan
Zip
49221-2735
Phone Number
517-263-5810
Fax Number
517-263-5810
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
TI031889 (Michigan)
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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