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Organization

TRUENORTH CCM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRISTINE MARIE GOODROE MA, LPC (MINISTRY DIRECTOR)
(989) 345-5440
Entity
Organization

Contact information

Practice address
2945 HANSEN RD, WEST BRANCH, MI 48661-9317
(989) 345-5440
Mailing address
2945 HANSEN RD, WEST BRANCH, MI 48661-9317
(989) 345-5440

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401012384
MI

Other

Enumeration date
11/01/2016
Last updated
11/01/2016
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