Community Mental Health For Central Michigan

NPI 1134554975 - Case Management - 251B00000X

NPI Details
NPI 1134554975
Enumeration Date 09/12/2013
Last Updated 09/12/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SHAVONNE SHAVONNE
Position CMHCM SUPERVISOR
Phone (989) 821-7359
Fax
Practice Location
220 GOEBEL AVE
ROSCOMMON MI, 48653-9591, US
Phone (989) 821-7359
Fax
Business Location
655 E CEDAR AVE
GLADWIN MI, 48624-2215, US
Phone (989) 426-9295
Fax (989) 426-2251
Toxanomy
Taxonomy Code 251B00000X
License State Michigan
License Number 6802076707
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According to our database, Community Mental Health For Central Michigan NPI is 1134554975, taxonomy code is 251B00000X and license number is 6802076707, license state is located at Michigan. Community Mental Health For Central Michigan physically located at 220 Goebel Ave, Roscommon MI, 48653-9591. NPI Number 1033115704 has the healthcare provider type.

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1134554975 NPI number is provided on an as is basis without warranty of any kind. 1134554975 is maintained by the National Plan & Provider Enumeration System. The contents of Community Mental Health For Central Michigan are for informational purposes only.