NPI 1134470495

Macomb County Community Mental Health

Organisation Case Management Agency Clinton Township, MI

Practice location

Address: 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139
Phone: (586) 469-7629
Fax: (586) 469-7662

Authorised official

Name: Kelly Lynn Malicki
Title: Case Manager II
Phone: (586) 466-6218

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 6803086323 (MI)

Other Case Management providers in Michigan →

Registry record

NPI: 1134470495
Entity type: Organization
NPI issued: 27 Sep 2012
Record last updated: 27 Sep 2012

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.