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AUSABLE VALLEY COMMUNITY MENTAL HEALTH SERVICES BOARD NPI 1417011701


NPI Information

NPI: 1417011701
Provider Name: AUSABLE VALLEY COMMUNITY MENTAL HEALTH SERVICES BOARD
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1199 W HARRIS AVE
TAWAS CITY, MI
ZIP 48764
Phone: (989) 362-8636
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AUSABLE VALLEY COMMUNITY MENTAL HEALTH SERVICES BOARD is a community behavioral health in Tawas City, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. AUSABLE VALLEY COMMUNITY MENTAL HEALTH SERVICES BOARD NPI is 1417011701. The provider is registered as an organization entity type.

The provider's business location address is:

1199 W HARRIS AVE
TAWAS CITY, MI
ZIP 48764-310
Phone: (989) 362-8636

The provider's authorized official is Floyd Smith .
The authorized official title is Executive Director and has the following contact phone number (989) 362-8636.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 6/8/2010.


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
1251S00000XCommunity/Behavioral HealthYes

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
10C56035MEDICARE PINMICHIGAN
24456570MEDICAIDMICHIGAN
31706830MEDICAIDMICHIGAN
40P14430MEDICARE PINMICHIGAN
54811060MEDICAIDMICHIGAN

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: 5/5/2024

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