Organization
HIAWATHA COMMUNITY MENTAL HEALTH AUTHORITY
Active
Other names
Hiawatha Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL HARMA (CHIEF EXECUTIVE OFFICER)
(906) 341-2144
Entity
Organization
Contact information
Practice address
114 W ELLIOTT ST, SAINT IGNACE, MI 49781-1868
(906) 643-8616
(906) 643-7194
Mailing address
125 N LAKE ST, MANISTIQUE, MI 49854-1234
(906) 341-2144
(906) 341-5793
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7509104110
BCBS
MI
01
—
7509104120
BCBS
MI
01
—
7509104130
BCBS
MI
Enumeration date
02/12/2008
Last updated
02/12/2008
Update your record
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