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General NPI Number Information
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NPI Number | 1326354580
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Entity Type | Organization
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Legal Business Name | DCA BEHAVIORAL MANAGEMENT, INC.
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 3240 CHRISTY WAY S SUITE 3
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City | SAGINAW
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State | MI
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Zip | 48603-2215
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Country | US
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Telephone | 989-401-1570
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Fax | 989-401-1571
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Provider Business Mailing Address
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Address Line | 3240 CHRISTY WAY S SUITE 3
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City | SAGINAW
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State | MI
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Zip | 48603-2215
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Country | US
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Telephone | 989-401-1570
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Fax | 989-401-1571
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DOROTHY CHINEDU AGUWA
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Credential | LMSW, ACSW
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Telephone | 248-910-0354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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