Healthcare Provider Details

I. General information

NPI: 1467778167
Provider Name (Legal Business Name): SAGINAW COUNTY COMM MENTAL HEALTH AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2010
Last Update Date: 04/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HANCOCK ST
SAGINAW MI
48602-4224
US

IV. Provider business mailing address

500 HANCOCK ST
SAGINAW MI
48602-4224
US

V. Phone/Fax

Practice location:
  • Phone: 989-797-3400
  • Fax: 989-799-3918
Mailing address:
  • Phone: 989-797-3400
  • Fax: 989-799-3918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SANDRA M LINDSEY
Title or Position: CEO
Credential: MSW ACSW
Phone: 989-797-3400