Organization
NLCMH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN DAVID BEE LBSW (CASE MANAGER)
(231) 933-4944
Entity
Organization
Contact information
Practice address
105 HALL ST, TRAVERSE CITY, MI 49684-2288
(231) 922-4850
Mailing address
105 HALL ST, TRAVERSE CITY, MI 49684-2288
(231) 922-4850
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6802065562
MI
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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