| Copper Country Community Mental Health Services | |
|
901 W Mem Dr Houghton MI 49931-2475 | |
| (906) 482-9400 | |
| (906) 483-0269 |
| Full Name | Copper Country Community Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 901 W Mem Dr, Houghton, Michigan |
| Authorized Official Name and Position | Lawrence J Pollack (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9064829400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Country Community Mental Health Services 901 W Mem Dr Houghton MI 49931-2475 Ph: (906) 482-9400 | Copper Country Community Mental Health Services 901 W Mem Dr Houghton MI 49931-2475 Ph: (906) 482-9400 |
| NPI Number | 1306164017 |
|---|---|
| Provider Enumeration Date | 05/06/2010 |
| Last Update Date | 05/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306164017 | NPI | - | NPPES |
| 1795702 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Michigan) | Primary |
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