CATHOLIC CHARITIES OF JACKSON LENAWEE AND HILLSDALE COUNTIES NPI 1689628190

NPI Information

NPI: 1689628190
Provider Name: CATHOLIC CHARITIES OF JACKSON, LENAWEE AND HILLSDALE COUNTIES
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1522 JOY AVE
JACKSON, MI
ZIP 49203
Phone: (517) 782-2551
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CATHOLIC CHARITIES OF JACKSON, LENAWEE AND HILLSDALE COUNTIES is an adult mental health clinic center in Jackson, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CATHOLIC CHARITIES OF JACKSON, LENAWEE AND HILLSDALE COUNTIES NPI is 1689628190. The provider is registered as an organization entity type.

The provider's business location address is:

1522 JOY AVE
JACKSON, MI
ZIP 49203-933
Phone: (517) 782-2551
Fax: (517) 783-1986

The provider's authorized official is Sue M. Lewis .
The authorized official title is Executive Director and has the following contact phone number (517) 782-2551.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 10/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	788341	MICHIGAN	No
3	261QM0850X	Clinic/Center	Adult Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OP23230	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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