Organization
LIVINGSTON COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Other names
CMH of Livingston County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGUS M MILLER IV L.M.S.W. (EXECUTIVE DIRECTOR)
(517) 546-4126
Entity
Organization
Contact information
Practice address
2280 E GRAND RIVER AVE, HOWELL, MI 48843-8503
(517) 546-4126
(517) 546-1300
Mailing address
2280 E GRAND RIVER AVE, HOWELL, MI 48843-8503
(517) 546-4126
(517) 546-1300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D76011
MEDICARE PTAN
—
01
—
0N61370
MEDICARE PTAN
—
01
—
0N63530
MEDICARE PTAN
—
Enumeration date
05/12/2010
Last updated
05/12/2010
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