Organization
HURON VALLEY CONSULTATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX MARTINEX MSW (DIRECTOR)
(734) 662-6300
Entity
Organization
Contact information
Practice address
15 RESEARCH DR, ANN ARBOR, MI 48103-2974
(734) 662-6300
(734) 662-3365
Mailing address
15 RESEARCH DR, ANN ARBOR, MI 48103-2974
(734) 662-6300
(734) 662-3365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067290
VALUE OPTIONS
MI
01
—
BM810003
MCARE
MI
01
—
P46215
BLUECARE NETWORK
MI
Enumeration date
07/09/2006
Last updated
08/22/2020
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