Catholic Socail Services | |
2601 13th St Port Huron MI 48060-6546 | |
(810) 987-9100 | |
(810) 987-9105 |
Full Name | Catholic Socail Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2601 13th St, Port Huron, Michigan |
Authorized Official Name and Position | John Mitchell (MEDICAL DIRECTOR) |
Authorized Official Contact | 8109879100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Catholic Socail Services 2601 13th St Port Huron MI 48060-6546 Ph: (810) 987-9100 | Catholic Socail Services 2601 13th St Port Huron MI 48060-6546 Ph: (810) 987-9100 |
NPI Number | 1306922174 |
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Provider Enumeration Date | 10/27/2006 |
Last Update Date | 05/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306922174 | NPI | - | NPPES |
0N50220 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 5101013191 (Michigan) | Primary |
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St Clair County Community Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
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