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General NPI Number Information
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NPI Number | 1093152092
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Entity Type | Organization
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Legal Business Name | HOLY CROSS YOUTH AND FAMILY SERVICES INC
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2084 HEMMETER RD
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City | SAGINAW
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State | MI
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Zip | 48603-3943
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Country | US
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Telephone | 989-401-7506
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Fax | 989-401-7509
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Provider Business Mailing Address
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Address Line | 8759 CLINTON MACON RD
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City | CLINTON
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State | MI
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Zip | 49236-9572
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Country | US
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Telephone | 517-423-7556
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Fax | 517-423-5442
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Authorized Official
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Title or Position | REGIONAL OFFICE COORDINATOR
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Name | PAULINE BAUDOUX
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Credential |
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Telephone | 989-596-3558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 730232
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License Number State | MI
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