| North Country Community Mental Health | |
|
1 Macdonald Dr Suite A Petoskey MI 49770-4406 | |
| (231) 347-7890 | |
| (231) 347-1241 |
| Full Name | North Country Community Mental Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 Macdonald Dr, Petoskey, Michigan |
| Authorized Official Name and Position | Alexis Kaczynski (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2313477890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Community Mental Health 1 Macdonald Dr Suite A Petoskey MI 49770-4406 Ph: (231) 347-7890 | North Country Community Mental Health 1 Macdonald Dr Suite A Petoskey MI 49770-4406 Ph: (231) 347-7890 |
| NPI Number | 1366760381 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 05/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366760381 | NPI | - | NPPES |
| 4476072 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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