# BOYSVILLE OF MICHIGAN, INC.

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

## Provider details

- **NPI number:** 1184061426
- **Authorized official:** PAULINE M BAUDOUX (REGIONAL OFFICE COORDINATOR)
- **Authorized official phone:** (989) 596-3558

## Contact information

- **Practice address:** 35 S JOHNSON ST, SUITE 3C, PONTIAC, MI 48341-1658
- **Practice address phone:** (248) 333-7222
- **Practice address fax:** (248) 333-7254
- **Mailing address:** 8759 CLINTON MACON RD, CLINTON, MI 49236-9572
- **Mailing address phone:** (517) 423-7556
- **Mailing address fax:** (517) 423-5442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | SA0631363 | MI | Yes |

## Other

- **Enumeration date:** 05/28/2013
- **Last updated:** 02/24/2020