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BLUE SEAHORSE INC.
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1396150546
Organizational Registrant:Organization Name: BLUE SEAHORSE INC.
Organization is not Subpart
Authorized Official: MIKE GEORGE SIVER CHAIRMAN OF THE BOARD 269--24-43577
Organization is not Subpart
Authorized Official: MIKE GEORGE SIVER CHAIRMAN OF THE BOARD 269--24-43577
Location and contact information for practice:
101 E DELAWARE ST DECATUR, MI 49045-1131 US
Tel: 269-244-3577 Fax: 269-409-3983
Tel: 269-244-3577 Fax: 269-409-3983
Contact information for business:
101 E DELAWARE ST DECATUR, MI 49045-1131 US
Tel: 269-244-3577 Fax: 269-409-3983
Tel: 269-244-3577 Fax: 269-409-3983
Registration Information:
NPI: 1396150546
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | MI | SA0800033 |
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | MI | SA0800033 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
