Full Name | Chr |
---|---|
Speciality | Counselor |
Location | 1001 Military St, Port Huron, Michigan |
Authorized Official Name and Position | Robert E Gamble (CLINICAL DIRECTOR) |
Authorized Official Contact | 8109855168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chr 1001 Military St Port Huron MI 48060-5416 Ph: (810) 985-5168 | Chr 1001 Military St Port Huron MI 48060-5416 Ph: (810) 985-5168 |
NPI Number | 1316116544 |
---|---|
Provider Enumeration Date | 02/21/2008 |
Last Update Date | 06/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316116544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6401010728 (Michigan) | Primary |
News Archive
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