Organization
HOLY CROSS SERVIES
Active
Other names
Holy Cross Services
Organization subpart
No
Provider details
NPI number
Authorized official
LOISTENE PHILLIPS (CREDENTIALING COORDINATOR)
(313) 880-3393
Entity
Organization
Contact information
Practice address
1030 N RIVER RD, SAGINAW, MI 48609-6832
(313) 880-3393
(989) 702-2178
Mailing address
1030 N RIVER RD, SAGINAW, MI 48609-6832
(989) 596-3558
(989) 401-7509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
250379
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
SA0250380
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
SA0250381
MI
Other
Enumeration date
06/06/2013
Last updated
05/13/2021
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