Organization
HURON COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Other names
Huron Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE JOHNSON (REIMBURSEMENT COORDINATOR)
(989) 269-1129
Entity
Organization
Contact information
Practice address
1375 R DALE WERTZ DR, BAD AXE, MI 48413
(989) 269-9293
(989) 269-7544
Mailing address
1375 R DALE WERTZ DR, BAD AXE, MI 48413-1365
(989) 269-9293
(989) 269-7544
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7509109570
BCBS
MI
05
—
774352852
—
MI
Enumeration date
03/19/2010
Last updated
02/13/2020
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