| Blue Water Counseling And Wellness Center, Inc. | |
|
25490 Little Mack Ave Saint Clair Shores MI 48081-2157 | |
| (586) 246-7837 | |
| (586) 779-8146 |
| Full Name | Blue Water Counseling And Wellness Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25490 Little Mack Ave, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Kimberly L Goodwin (DIRECTOR) |
| Authorized Official Contact | 5862467837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Counseling And Wellness Center, Inc. 25490 Little Mack Ave Saint Clair Shores MI 48081-2157 Ph: (586) 246-7837 | Blue Water Counseling And Wellness Center, Inc. 25490 Little Mack Ave Saint Clair Shores MI 48081-2157 Ph: (586) 246-7837 |
| NPI Number | 1023560851 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 10/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023560851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401010236 (Michigan) | Primary |
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