Organization
NORTHERN MICHIGAN SUBSTANCE ABUSE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE WINTER (EXECUTIVE DIRECTOR)
(989) 732-1791
Entity
Organization
Contact information
Practice address
2136 W M 32, GAYLORD, MI 49735-9282
(989) 732-1791
(989) 732-7052
Mailing address
2136 W M 32, GAYLORD, MI 49735-9282
(989) 732-1791
(989) 732-7052
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
SA0690031
MI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
690031
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174458207
—
MI
Enumeration date
04/24/2007
Last updated
10/27/2014
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