Organization
LITTLE ONES OF THE UP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN COPENHAVER RN, LMSW, IMH-E (MIHP COORDINATOR)
(906) 286-3254
Entity
Organization
Contact information
Practice address
300 WALNUT RM 155, MANISTIQUE, MI 49854
(906) 286-3254
Mailing address
PO BOX 23, GERMFASK, MI 49836-0023
(906) 286-3254
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/13/2009
Last updated
01/11/2012
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