Organization Name: | ALCONA CITIZENS FOR HEALTH, INC. |
NPI Number: | 1326055450 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE BAUMGARDNER (EXECUTIVE DIRECTOR) |
Mailing Address: | 177 N Barlow Rd Harrisville |
State: | MI US |
Postal Code: | 487409607 |
Phone Number: | 9897363020 |
Fax Number: | 9893583763 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 02/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |