# HOLY CROSS SERVIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holy Cross Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104264662
- **Authorized official:** LOISTENE PHILLIPS (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (313) 880-3393

## Contact information

- **Practice address:** 1030 N RIVER RD, SAGINAW, MI 48609-6832
- **Practice address phone:** (313) 880-3393
- **Practice address fax:** (989) 702-2178
- **Mailing address:** 1030 N RIVER RD, SAGINAW, MI 48609-6832
- **Mailing address phone:** (989) 596-3558
- **Mailing address fax:** (989) 401-7509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 250379 | MI | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | SA0250380 | MI | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | SA0250381 | MI | — |

## Other

- **Enumeration date:** 06/06/2013
- **Last updated:** 05/13/2021
