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Organization

MIDLAND COUNTY JUVENILE CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK BUTCHER (DIRECTOR)
(989) 837-6080
Entity
Organization

Contact information

Practice address
3712 E ASHMAN RD, MIDLAND, MI 48642-9314
(989) 837-6080
(989) 837-6094
Mailing address
3712 E ASHMAN RD, MIDLAND, MI 48642-9314
(989) 837-6080
(989) 837-6094

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CO560201303
MI

Other

Enumeration date
02/22/2012
Last updated
02/22/2012
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