Organization
NORTHPOINTE BEHAVIORAL HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CESCOLINI (CEO)
(906) 779-0522
Entity
Organization
Contact information
Practice address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
(906) 774-1570
Mailing address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
(906) 774-1570
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3140186
—
MI
01
—
750910750
BCBS OF MI
MI
Enumeration date
06/30/2006
Last updated
10/04/2023
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