Organization
HACKLEY COMMUNITY CARE CENTER INC
Active
Organization
HACKLEY COMMUNITY CARE CENTER INC
Active
Other names
Muskegon Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE KOHN DO (CMO)
(231) 737-1335
Entity
Organization
Contact information
Practice address
1150 AMITY AVE, MUSKEGON, MI 49442-3713
(231) 720-3048
Mailing address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
(231) 737-1335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
06/08/2015
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