| St Clair County Community Mental Health West-capac | |
|
14675 Downey Rd Capac MI 48014-3016 | |
| (810) 395-4343 | |
| Not Available |
| Full Name | St Clair County Community Mental Health West-capac |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14675 Downey Rd, Capac, Michigan |
| Authorized Official Name and Position | Debra B Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8109858900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Clair County Community Mental Health West-capac 14675 Downey Rd Capac MI 48014 Ph: (810) 395-4343 | St Clair County Community Mental Health West-capac 14675 Downey Rd Capac MI 48014-3016 Ph: (810) 395-4343 |
| NPI Number | 1306981675 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306981675 | NPI | - | NPPES |
| 1708164 | Medicaid | MI | |
| 10688 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4349015 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |