| Little Traverse Bay Bands Of Odawa Indians | |
|
101 Greenwood Petoskey MI 49770 | |
| (231) 242-1642 | |
| (231) 242-1659 |
| Full Name | Little Traverse Bay Bands Of Odawa Indians |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Greenwood, Petoskey, Michigan |
| Authorized Official Name and Position | Linda M Woods (SUBSTANCE ABUSE DIRECTOR) |
| Authorized Official Contact | 2312421646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Traverse Bay Bands Of Odawa Indians 7500 Odawa Circle Harbor Springs MI 49740 Ph: (231) 242-1400 | Little Traverse Bay Bands Of Odawa Indians 101 Greenwood Petoskey MI 49770 Ph: (231) 242-1642 |
| NPI Number | 1235342866 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235342866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 240029 (Michigan) | Primary |
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