Organization
NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
Active
Parent organization
NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
Other names
Northern Health Care Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
Authorized official
BRIAN MARTINUS (INTERIM CEO)
(231) 922-4850
Entity
Organization
Contact information
Practice address
105 HALL STREET, SUITE D, TRAVERSE CITY, MI 49684
(231) 922-4850
(231) 935-4164
Mailing address
105 HALL STREET, SUITE D, TRAVERSE CITY, MI 49684
(231) 922-4850
(231) 935-4164
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77 4508846
—
MI
Enumeration date
09/26/2006
Last updated
11/28/2023
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