| Samaritan Counseling Centers Of The U.p. | |
|
117 W Genesee St Suite 9 Iron River MI 49935-1497 | |
| (906) 265-2000 | |
| Not Available |
| Full Name | Samaritan Counseling Centers Of The U.p. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117 W Genesee St, Iron River, Michigan |
| Authorized Official Name and Position | James Dorrington Van Doren (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9062652000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Counseling Centers Of The U.p. 117 W Genesee St Suite 9 Iron River MI 49935-1497 Ph: (906) 265-2000 | Samaritan Counseling Centers Of The U.p. 117 W Genesee St Suite 9 Iron River MI 49935-1497 Ph: (906) 265-2000 |
| NPI Number | 1336466440 |
|---|---|
| Provider Enumeration Date | 04/28/2010 |
| Last Update Date | 04/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336466440 | NPI | - | NPPES |
| COUN10-99131 | Other | MI | COUNSELING SERVICES CONTRACT (CM-F910) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L112776 (Michigan) | Primary |
| 251S00000X | Community/behavioral Health | 2574-123 (Wisconsin) | Secondary |
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