Organization
SEGUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M REYNOLDS (CEO)
(517) 784-6729
Entity
Organization
Contact information
Practice address
212 E. BIDDLE STREET, JACKSON, MI 49203
(517) 784-6729
(517) 745-4841
Mailing address
PO BOX 6159, JACKSON, MI 49204-6159
(517) 784-6729
(517) 784-7546
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260C811710
BLUE CROSS BLUE SHLD MICH
MI
05
—
4924298
—
MI
Enumeration date
08/31/2006
Last updated
02/03/2020
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