Organization
COUNTY OF MUSKEGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA B RUPP (EXECUTIVE DIRECTOR)
(231) 724-1111
Entity
Organization
Contact information
Practice address
376 E APPLE AVENUE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 724-4188
Mailing address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 724-4188
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
05
—
1712452
—
MI
05
—
4355890
—
MI
01
—
750910792
BLUE CROSS APPLE AVE
MI
Enumeration date
09/21/2006
Last updated
09/08/2014
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