Organization
HANNAHVILLE INDIAN COMMUNITY
Active
Other names
Three Fires Recovery Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA MARIE BERTRAND CPRM, CHW (PROGRAM SUPERVISOR)
(906) 280-5004
Entity
Organization
Contact information
Practice address
3071 D RD, BARK RIVER, MI 49807-8702
(906) 280-5004
Mailing address
3071 D RD, BARK RIVER, MI 49807-8702
(906) 280-5004
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/28/2026
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