Organization
BALDWIN FAMILY HEALTH CARE
Active
Parent organization
BALDWIN FAMILY HEALTH CARE
Other names
Newaygo Middle School Behavioral Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BALDWIN FAMILY HEALTH CARE
Authorized official
JULIE TATKO (CEO)
(231) 745-2743
Entity
Organization
Contact information
Practice address
850 76TH ST RM 101G, NEWAYGO, MI 49337-7930
(231) 652-1285
(231) 745-2743
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-2743
(231) 745-3690
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
11/12/2020
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