Provider Demographics
NPI:1639441611
Name:ASSOCIATION FOR CHILDREN'S MENTAL HEALTH
Entity Type:Organization
Organization Name:ASSOCIATION FOR CHILDREN'S MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MALISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-372-4016
Mailing Address - Street 1:6017 W. ST. JOE HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-4874
Mailing Address - Country:US
Mailing Address - Phone:517-372-4016
Mailing Address - Fax:517-372-4032
Practice Address - Street 1:6017 W ST JOE HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-4874
Practice Address - Country:US
Practice Address - Phone:517-372-4016
Practice Address - Fax:517-372-4032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable