NPI 1083041297

Lakeshore Regional Entity

Organisation Community/Behavioral Health Agency Ludington, MI

Practice location

Address: 920 Diana St, Ludington, MI 49431-1987
Phone: (231) 845-6294
Fax: (231) 845-7095
Mailing address: 5000 Hakes Dr. Suite 500, Norton Shores, MI 49441

Authorised official

Name: Jeffrey Alan Laban
Title: Cfo
Phone: (231) 769-2046

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Michigan →

Registry record

NPI: 1083041297
Entity type: Organization
NPI issued: 2 Oct 2013
Record last updated: 1 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.