| Holy Cross Services | |
|
35 S Johnson St Suite 3c Pontiac MI 48341-1658 | |
| (248) 333-7222 | |
| (248) 333-7254 |
| Full Name | Holy Cross Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 35 S Johnson St, Pontiac, Michigan |
| Authorized Official Name and Position | Pauline M Baudoux (REGIONAL OFFICE COORDINATOR) |
| Authorized Official Contact | 9895963558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holy Cross Services 8759 Clinton Macon Rd Clinton MI 49236-9572 Ph: (517) 423-7556 | Holy Cross Services 35 S Johnson St Suite 3c Pontiac MI 48341-1658 Ph: (248) 333-7222 |
| NPI Number | 1184061426 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 02/24/2020 |
| Certification Date | 02/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184061426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | SA0631363 (Michigan) | Primary |
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