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Organization
HURON COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Organization
HURON COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Other names
Huron Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE JOHNSON (REIMBURSEMENT COORDINATOR)
(989) 269-1129
Entity
Organization
Contact information
Practice address
1375 R DALE WERTZ DR, BAD AXE, MI 48413-1365
(989) 269-9293
(989) 269-7544
Mailing address
1375 R DALE WERTZ DR, BAD AXE, MI 48413-1365
(989) 269-9293
(989) 269-7544
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7509109570
BCBS
MI
05
—
774352852
—
MI
Enumeration date
08/18/2006
Last updated
02/13/2020
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