Organization
NEWAYGO COUNTY MENTAL HEALTH BOARD
Active
Organization
NEWAYGO COUNTY MENTAL HEALTH BOARD
Active
Other names
Newaygo County Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
GREG SNYDER ACSW (EXECUTIVE DIRECTOR)
(231) 689-7330
Entity
Organization
Contact information
Practice address
1049 E NEWELL ST, WHITE CLOUD, MI 49349-8795
(231) 689-7330
(231) 689-7345
Mailing address
1049 E NEWELL ST # 867, WHITE CLOUD, MI 49349-8795
(231) 689-7330
(231) 689-7345
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301045669
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417139692
NPI - DR. ALT
MI
05
—
1708066
—
MI
05
—
4359826
—
MI
05
—
4892416
—
MI
01
—
700F260140
BLUE CROSS/BLUE SHIELD
MI
01
—
P47070002
MEDICARE PTAN
MI
01
—
P57070001
MEDICARE PTAN
MI
Enumeration date
04/07/2010
Last updated
04/07/2010
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