| St Clair County Community Mental Health South-marine City | |
|
6221 King Rd Marine City MI 48039-1428 | |
| (810) 765-5010 | |
| Not Available |
| Full Name | St Clair County Community Mental Health South-marine City |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6221 King Rd, Marine City, 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 South-marine City 6221 King Rd Marine City MI 48039-1428 Ph: (810) 765-5010 | St Clair County Community Mental Health South-marine City 6221 King Rd Marine City MI 48039-1428 Ph: (810) 765-5010 |
| NPI Number | 1821133265 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821133265 | NPI | - | NPPES |
| 1708164 | Medicaid | MI | |
| 4349015 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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› Verified 8 days ago
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