Organization
SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Parent organization
SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Other names
Shiawassee Health & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Authorized official
LAURA STEPHEN (FINANCIAL SERVICES SUPERVISOR)
(989) 723-0732
Entity
Organization
Contact information
Practice address
1555 INDUSTRIAL DR, OWOSSO, MI 48867-9775
(989) 723-0732
Mailing address
1555 INDUSTRIAL DR, OWOSSO, MI 48867-9775
(989) 723-6791
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G81020
MALLP GROUP
—
Enumeration date
02/07/2008
Last updated
01/18/2018
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