Organization
HIGHFIELDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY M MONROE MSW (VICE PRESIDENT)
(517) 628-2287
Entity
Organization
Contact information
Practice address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 783-4250
(517) 783-4164
Mailing address
5123 OLD PLANK RD, ONONDAGA, MI 49264-9707
(517) 628-2287
(517) 628-3421
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
02/20/2007
Last updated
03/26/2021
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