Organization
COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE J POLLACK PHD. (EXECUTIVE DIRECTOR)
(906) 482-9400
Entity
Organization
Contact information
Practice address
901 W MEM DR, HOUGHTON, MI 49931-2475
(906) 482-9400
(906) 483-0269
Mailing address
901 W MEM DR, HOUGHTON, MI 49931-2475
(906) 482-9400
(906) 483-0269
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1795702
—
MI
Enumeration date
05/06/2010
Last updated
05/06/2010
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