Provider Demographics
NPI:1689958696
Name:CHILD & FAMILY SERVICES OF THE U.P. INC.
Entity Type:Organization
Organization Name:CHILD & FAMILY SERVICES OF THE U.P. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEMASHKO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW CAADC
Authorized Official - Phone:906-228-4050
Mailing Address - Street 1:706 CHIPPEWA SQ STE 200
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4817
Mailing Address - Country:US
Mailing Address - Phone:906-228-4050
Mailing Address - Fax:906-228-2153
Practice Address - Street 1:706 CHIPPEWA SQ STE 200
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4817
Practice Address - Country:US
Practice Address - Phone:906-228-4050
Practice Address - Fax:906-228-2153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health