Keweenaw Bay Indian Community Substance Abuse Programs

NPI #1174796411 in Lanse, Michigan

Provider Information

NPI Number
1174796411
Entity Type
Organization
Organization Name
Keweenaw Bay Indian Community Substance Abuse Programs
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Apr 8, 2008
Last Updated
Apr 8, 2008

Practice Location

Address
16025 BREWERY RD
City
Lanse
ZIP Code
49946-8092
Phone
(906) 524-4411

Authorized Official

Name
MR. JERRY LEE CURTIS, CAC-1
Title
ADMINISTRATOR
Phone
(906) 524-4411

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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