Organization
NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
Active
Parent organization
NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
Other names
Northern Lakes Integrated Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
Authorized official
NANCY STEVENSON (COO)
(231) 922-4850
Entity
Organization
Contact information
Practice address
105 HALL ST, SUITE C, TRAVERSE CITY, MI 49684-2288
(231) 935-3062
Mailing address
105 HALL ST, SUITE C, TRAVERSE CITY, MI 49684-2288
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
11/28/2023
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