Organization
NORTHEAST MICHIGAN COMMUNITY SERVICE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M SWISE (CEO)
(989) 356-3474
Entity
Organization
Contact information
Practice address
2375 GORDON RD, ALPENA, MI 49707-4627
(989) 356-3474
(989) 354-6913
Mailing address
2375 GORDON RD, ALPENA, MI 49707-4627
(989) 356-3474
(989) 354-6913
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4508873
—
MI
Enumeration date
04/21/2009
Last updated
04/21/2009
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