| Genesee County Community Mental Health | |
|
420 W 5th Ave Flint MI 48503-2445 | |
| (810) 257-3736 | |
| Not Available |
| Full Name | Genesee County Community Mental Health |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 420 W 5th Ave, Flint, Michigan |
| Authorized Official Name and Position | Danis Russell (CHIEF EXECUTIVE OFFICE) |
| Authorized Official Contact | 8102573707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesee County Community Mental Health 725 Mason St Flint MI 48503-2421 Ph: (810) 257-3736 | Genesee County Community Mental Health 420 W 5th Ave Flint MI 48503-2445 Ph: (810) 257-3736 |
| NPI Number | 1821316027 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 05/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821316027 | NPI | - | NPPES |
| 774350384 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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