# WESTERN UPPER PENINSULA SUBSTANCE ABUSE SERVICES COORDINATING AGENCY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Western UP Substance Abuse Services CA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417080813
- **Authorized official:** ROSALIE KING (GOVERNING BOARD CHAIR)
- **Authorized official phone:** (906) 482-7710

## Contact information

- **Practice address:** 902 WEST SHARON AVE., HOUGHTON, MI 49931
- **Practice address phone:** (906) 482-7710
- **Practice address fax:** (906) 482-3217
- **Mailing address:** 902 WEST SHARON AVE., HOUGHTON, MI 49931
- **Mailing address phone:** (906) 482-7710
- **Mailing address fax:** (906) 482-3217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 220014 | MI | — |
| 251B00000X | Case Management Agency | 270025 | MI | — |
| 251B00000X | Case Management Agency | 310030 | MI | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020