Provider Demographics
NPI:1225276223
Name:SANE/SART SERVICES OF LAPEER COUNTY
Entity Type:Organization
Organization Name:SANE/SART SERVICES OF LAPEER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPEER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN, SANE-A
Authorized Official - Phone:810-834-2209
Mailing Address - Street 1:255 CLAY ST
Mailing Address - Street 2:PROSECUTORS OFFICE
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-2205
Mailing Address - Country:US
Mailing Address - Phone:810-667-0326
Mailing Address - Fax:810-667-0340
Practice Address - Street 1:1800 IMLAY CITY RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-3208
Practice Address - Country:US
Practice Address - Phone:810-834-2209
Practice Address - Fax:810-667-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care