NPI 1043755218

Macomb County Community Mental Health Services

Organisation Case Management Agency Clinton Township, MI

Practice location

Address: 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139
Phone: (586) 469-5200
Mailing address: 5725 Newberry Dr APT. 201, Sterling Heights, MI 48310-7434

Authorised official

Name: Michael Jerome Dubose
Title: Case Manager III
Phone: (313) 918-8304

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 6801099305 (MI)

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Registry record

NPI: 1043755218
Entity type: Organization
NPI issued: 27 Dec 2016
Record last updated: 27 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.