Blue Seahorse Inc.

NPI #1396150546 in Decatur, Michigan

Provider Information

NPI Number: 1396150546
Entity Type: Organization
Organization Name: Blue Seahorse Inc.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 26, 2014
Last Updated: Jul 16, 2014

Practice Location

Address: 101 E DELAWARE ST
City: Decatur
State: Michigan
ZIP Code: 49045-1131
Phone: (269) 244-3577

Authorized Official

Name: MR. MIKE GEORGE SIVER
Title: CHAIRMAN OF THE BOARD
Phone: (269) 244-3577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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