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General NPI Number Information
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NPI Number | 1508060682
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Entity Type | Organization
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Legal Business Name | CATHOLIC HUMAN SERVICES INC.
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 1165 ELKVIEW DR
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City | GAYLORD
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State | MI
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Zip | 49735-2055
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Country | US
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Telephone | 989-732-6761
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Fax | 989-732-6763
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Provider Business Mailing Address
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Address Line | 829 W MAIN ST STE C3
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City | GAYLORD
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State | MI
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Zip | 49735-1998
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Country | US
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Telephone | 989-732-6761
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Fax | 989-732-6763
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Authorized Official
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Title or Position | CEO
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Name | DAVID R MARTIN
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Credential |
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Telephone | 231-947-8110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 690008
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License Number State | MI
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