Northern Lakes Community Mental Health Authority

NPI #1417481136 in Traverse City, Michigan

Provider Information

NPI Number
1417481136
Entity Type
Organization
Organization Name
Northern Lakes Community Mental Health Authority
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
Primary Specialty
Clinic/Center
Enumeration Date
Apr 19, 2017
Last Updated
Nov 28, 2023

Practice Location

Address
105 HALL ST
Address 2
SUITE C
ZIP Code
49684-2288
Phone
(231) 935-3062

Authorized Official

Name
NANCY STEVENSON
Title
COO
Phone
(231) 922-4850

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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