Organization
AUSABLE VALLEY COMMUNITY MENTAL HEALTH SERVICES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLOYD SMITH PHD (EXECUTIVE DIRECTOR)
(989) 362-8636
Entity
Organization
Contact information
Practice address
1199 W HARRIS AVE, TAWAS CITY, MI 48764-9310
(989) 362-8636
Mailing address
1199 W HARRIS AVE, PO BOX 310, TAWAS CITY, MI 48764-9310
(989) 362-8636
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1706830
—
MI
05
—
4456570
—
MI
05
—
4811060
—
MI
Enumeration date
12/20/2006
Last updated
06/08/2010
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