Organization
BAY PINES CENTER
Active
Parent organization
STATE OF MICHIGAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MICHIGAN
Authorized official
PATRICK CLANCY MCKEAGE (WOC DIRECTOR)
(906) 789-7362
Entity
Organization
Contact information
Practice address
2425 N 30TH ST, ESCANABA, MI 49829-9203
(906) 789-1232
(906) 789-9848
Mailing address
2425 N 30TH ST, ESCANABA, MI 49829-9203
(906) 789-1232
(906) 789-9848
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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