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Organization

TWO BRAVE VIKINGS LLC

Active
Other names
NEW HOPE BEHAVIORAL HEALTH CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MINDI WOODRUFF (OWNER)
(480) 826-2771
Entity
Organization

Contact information

Practice address
409 N MISSION ST, MOUNT PLEASANT, MI 48858-1825
(989) 294-2138
Mailing address
PO BOX 15, MOUNT PLEASANT, MI 48804-0015

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM2800X
Methadone Clinic
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5315227009
MICHIGAN CONTROLLED SUBSTANCE
MI
01
EMC0001010
MICHIGAN MEDICAL LICENSE
MI
Enumeration date
08/05/2025
Last updated
08/05/2025
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