Organization
MANISTEE BENZIE CMH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA NIEMAN (FINANCE OFFICER)
(877) 398-2013
Entity
Organization
Contact information
Practice address
6051 FRANKFORT HWY, SUITE 200, BENZONIA, MI 49616-9558
(877) 398-2013
(231) 882-2195
Mailing address
310 GLOCHESKI DR, PO BOX 335, MANISTEE, MI 49660-2639
(877) 398-2013
(231) 723-1504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705304
—
MI
Enumeration date
10/25/2005
Last updated
07/22/2022
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