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Organization

PATHWAYS COMMUNITY MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURA NELSON (CREDENTIALING SPECIALIST)
(906) 233-1236
Entity
Organization

Contact information

Practice address
200 W SPRING ST, MARQUETTE, MI 49855-4630
(906) 233-1236
(906) 233-1235
Mailing address
2500 7TH AVE S STE 100, ESCANABA, MI 49829-1176
(906) 233-1236
(906) 233-1235

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1724945
MI
Enumeration date
11/02/2006
Last updated
01/11/2018
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