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Organization
SAGINAW CHIPPEWA INDIAN TRIBE
Active
Organization
SAGINAW CHIPPEWA INDIAN TRIBE
Active
Other names
Behavioral Health Program
Organization subpart
No
Provider details
NPI number
Authorized official
LACIE KELLY (BUSINESS SERVICES MANAGER)
(989) 775-4850
Entity
Organization
Contact information
Practice address
2800 S SHEPHERD RD, MOUNT PLEASANT, MI 48858-8966
(989) 775-4850
(989) 775-4851
Mailing address
2800 S SHEPHERD RD, MOUNT PLEASANT, MI 48858-8966
(989) 775-4850
(989) 775-4851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
370007
MI
324500000X
Substance Abuse Rehabilitation Facility
370007
MI
Other
Enumeration date
03/15/2007
Last updated
02/05/2026
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