Hiawatha Community Mental Health Authority

NPI 1457529505 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1457529505
Enumeration Date 02/12/2008
Last Updated 02/12/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SAMUEL SAMUEL
Position CHIEF EXECUTIVE OFFICER
Phone (906) 643-8616
Fax (906) 643-7194
Practice Location
114 W ELLIOTT ST
SAINT IGNACE MI, 49781-1868, US
Phone (906) 643-8616
Fax (906) 643-7194
Business Location
125 N LAKE ST
MANISTIQUE MI, 49854-1234, US
Phone (906) 341-2144
Fax (906) 341-5793
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Hiawatha Community Mental Health Authority NPI is 1457529505, taxonomy code is 251S00000X Hiawatha Community Mental Health Authority physically located at 114 W Elliott St, Saint Ignace MI, 49781-1868. NPI Number 1033115704 has the healthcare provider type.

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1457529505 NPI number is provided on an as is basis without warranty of any kind. 1457529505 is maintained by the National Plan & Provider Enumeration System. The contents of Hiawatha Community Mental Health Authority are for informational purposes only.