Organization Name: | SAULT TRIBE OF CHIPPEWA INDIANS |
NPI Number: | 1245534890 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BONNIE L CULFA (DIVISION OF HEALTH DIRECTOR) |
Mailing Address: | 1140 N State St Suite 2805 Saint Ignace |
State: | MI US |
Postal Code: | 497811013 |
Phone Number: | 9066438689 |
Fax Number: | 9066436716 |
NPI Enumeration Date: | 12/22/2010 |
NPI Last Update Date: | 12/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |