Organization
BOYSVILLE OF MICHIGAN, INC.
Active
Other names
Holy Cross Services
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE M BAUDOUX (REGIONAL OFFICE COORDINATOR)
(989) 596-3558
Entity
Organization
Contact information
Practice address
35 S JOHNSON ST, SUITE 3C, PONTIAC, MI 48341-1658
(248) 333-7222
(248) 333-7254
Mailing address
8759 CLINTON MACON RD, CLINTON, MI 49236-9572
(517) 423-7556
(517) 423-5442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SA0631363
MI
Other
Enumeration date
05/28/2013
Last updated
02/24/2020
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