Organization
COMMUNITY SUBSTANCE ABUSE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACI A LAROUX (CEO)
(906) 774-7511
Entity
Organization
Contact information
Practice address
373 WOODWARD AVE, KINGSFORD, MI 49802-4628
(906) 774-7511
(906) 774-7357
Mailing address
373 WOODWARD AVE, KINGSFORD, MI 49802-4628
(906) 774-7511
(906) 774-7357
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
220003
MI
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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