Organization
MICHIGAN BEHAVIORAL HEALTH INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS LEROY FOSTER M.D. (ADDICTIONIST)
(989) 922-4900
Entity
Organization
Contact information
Practice address
690 S TRUMBULL ST, BAY CITY, MI 48708-7656
(989) 922-4900
(989) 922-4911
Mailing address
690 S TRUMBULL ST, BAY CITY, MI 48708-7656
(989) 922-4900
(989) 922-4911
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6301044754
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006208
—
MI
01
—
2607301861
HEALTH PLUS
MI
01
—
DF044754
BCBS OF MICHIGAN
MI
Enumeration date
01/16/2007
Last updated
08/22/2020
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