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BLUE SEAHORSE INC.

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant 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

Location and contact information for practice:
101 E DELAWARE ST  DECATUR, MI 49045-1131 US
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

Registration Information:
NPI: 1396150546
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MISA0800033
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
MISA0800033

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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