Organization Name: | TUSCOLA COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD |
NPI Number: | 1275644775 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON E BEALS (CEO) |
Mailing Address: | 323 N State St Caro |
State: | MI US |
Postal Code: | 487231537 |
Phone Number: | 9896736191 |
Fax Number: | 9896731596 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 12/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |