# NORTHERN LAKES COMMUNITY MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851636310
- **Authorized official:** GREG PAFFHOUSE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (231) 775-3463

## Contact information

- **Practice address:** 527 COBB ST, CADILLAC, MI 49601-2540
- **Practice address phone:** (231) 775-3463
- **Practice address fax:** (231) 775-1692
- **Mailing address:** 527 COBB ST, CADILLAC, MI 49601-2540
- **Mailing address phone:** (231) 775-3463
- **Mailing address fax:** (231) 775-1692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 6802077661 | MI | Yes |

## Other

- **Enumeration date:** 12/10/2012
- **Last updated:** 12/10/2012
