Organization
FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER, INC
Active
Other names
Four County Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY LYNN WILLIAMS MBA (DIRECTOR OF BUSINESS OPERATIONS)
(574) 732-2468
Entity
Organization
Contact information
Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 732-2468
(574) 739-1414
Mailing address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 732-2468
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
71004557A
IN
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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