| Hiawatha Behavioral Health | |
|
125 N Lake St Manistique MI 49854-1234 | |
| (906) 341-2144 | |
| (906) 341-5793 |
| Full Name | Hiawatha Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 125 N Lake St, Manistique, Michigan |
| Authorized Official Name and Position | Samuel Harma (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9063412144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiawatha Behavioral Health 125 N Lake St Manistique MI 49854-1234 Ph: (906) 341-2144 | Hiawatha Behavioral Health 125 N Lake St Manistique MI 49854-1234 Ph: (906) 341-2144 |
| NPI Number | 1922276070 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922276070 | NPI | - | NPPES |
| 7509104110 | Other | MI | BCBS |
| 7509104120 | Other | MI | BCBS |
| 7509104130 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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