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Organization

BLUE HORIZON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH PHILIP SMITHSON LMSW (THERAPIST)
(906) 322-6277
Entity
Organization

Contact information

Practice address
501 W HARRIE ST, NEWBERRY, MI 49868-1226
(906) 322-6277
Mailing address
501 W HARRIE ST, NEWBERRY, MI 49868-1226

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801086974
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770635427
NPI - INDIVIDUAL
MI
Enumeration date
04/20/2013
Last updated
04/20/2013
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