Provider Demographics
NPI:1225304017
Name:SAGINAW VALLEY CENTERS
Entity Type:Organization
Organization Name:SAGINAW VALLEY CENTERS
Other - Org Name:DOT CARING CENTERS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WATTERS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO CCS-M CADC
Authorized Official - Phone:1989-790-3366
Mailing Address - Street 1:3190 HALLMARK CT
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2190
Mailing Address - Country:US
Mailing Address - Phone:198-979-0336
Mailing Address - Fax:198-979-0915
Practice Address - Street 1:3190 HALLMARK CT
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2190
Practice Address - Country:US
Practice Address - Phone:989-790-3366
Practice Address - Fax:989-790-9151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI730038101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI730038Medicaid