| Copper Country Community Mental Health Services | |
|
515 Quartz St Ontonagon MI 49953-1115 | |
| (906) 884-4804 | |
| (906) 483-0269 |
| Full Name | Copper Country Community Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 515 Quartz St, Ontonagon, 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 515 Quartz St Ontonagon MI 49953-1115 Ph: (906) 884-4804 |
| NPI Number | 1780871137 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 12/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780871137 | NPI | - | NPPES |
| 1707962 | Medicaid | MI | |
| 10617 | Other | BLUE CROSS BLUE SHIELD MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |