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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