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NPI Code Detail

MEDICARE: HOLY CROSS YOUTH AND FAMILY SERVICES

MEDICARE: HOLY CROSS YOUTH AND FAMILY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility730230MI
2324500000XSubstance Abuse Rehabilitation FacilitySA0090080MI
3324500000XSubstance Abuse Rehabilitation FacilitySA0250383MI
4324500000XSubstance Abuse Rehabilitation FacilitySA0330349MI
53245S0500XChildren's Substance Abuse Rehabilitation Facility730229MI

General Provider Information

NPI Number : 1689947996
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLY CROSS YOUTH AND FAMILY SERVICES
Provider Business Mailing Address
First Line : 8759 CLINTON MACON RD
Second Line :
City : CLINTON
State : MI
Zip : 49236-9572
Country : US
Telephone Number : 517-423-7556
Fax Number : 517-423-5442
Provider Business Practice Location Address
First Line : 3400 S WASHINGTON RD
Second Line :
City : SAGINAW
State : MI
Zip : 48601-4958
Country : US
Telephone Number : 989-755-1702
Fax Number : 989-755-1401
Authorized Official
Title or Position : REGIONAL OFFICE COORDINATOR
Name : PAULINE BAUDOUX
Credential :
Telephone Number : 989-596-3558
Provider Enumeration Date : 02/16/2012
Last Update Date : 07/21/2022

Similar Medicare Providers

1316398290 — RHONDA R CLARK-MOSES MS, LLPC
Practice Location Address:
3400 S WASHINGTON RD
SAGINAW, MI
48601-4958
Practice Phone: 989-755-1072
Practice Fax: 989-755-1401
1578693164 — MS. HEIDI LYNN DIJAK LMSW, CAADC
Practice Location Address:
3400 S WASHINGTON RD
SAGINAW, MI
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Practice Phone: 989-755-1072
Practice Fax: 989-755-1401
1720118532 — MR. DONALD WALTER MCLAUGHLIN MA, MS, LLPC
Practice Location Address:
3400 S WASHINGTON RD
SAGINAW, MI
48601-4958
Practice Phone: 897-551-0729
Practice Fax: 989-755-1401
1427176502 — GREAT LAKES BAY HEALTH CENTERS
Practice Location Address:
3400 S WASHINGTON RD
SAGINAW, MI
48601-4958
Practice Phone: 989-759-6464
Practice Fax: 989-399-8233
1417212689 — DUJANA ROBERTS MA
Practice Location Address:
3400 S WASHINGTON RD
SAGINAW, MI
48601-4958
Practice Phone: 989-755-1072
Practice Fax: 989-755-1401
1417202524 — JENNIFER A MARDEN MA, LLPC
Practice Location Address:
3400 S WASHINGTON RD
SAGINAW, MI
48601-4958
Practice Phone: 989-755-1072
Practice Fax: 989-755-1401

Directions to “HOLY CROSS YOUTH AND FAMILY SERVICES ” Practice Location

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