| Copper Country Community Mental Health Services | |
|
15644 Skanee Rd Lanse MI 49946-9003 | |
| (906) 524-5885 | |
| (906) 483-0269 |
| Full Name | Copper Country Community Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15644 Skanee Rd, Lanse, Michigan |
| Authorized Official Name and Position | Lawrence J. Pollack (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9064829400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Country Community Mental Health Services 901 W. Memorial Dr. Houghton MI 49931 Ph: (906) 482-9400 | Copper Country Community Mental Health Services 15644 Skanee Rd Lanse MI 49946-9003 Ph: (906) 524-5885 |
| NPI Number | 1205023652 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205023652 | NPI | - | NPPES |
| 1707962 | Medicaid | MI | |
| 10603 | Other | BLUE CROSS BLUE SHIELD MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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