CLINTON EATON INGHAM COMMUNITY MENTAL HEALTH NPI 1093033367

NPI Information

CLINTON, EATON, INGHAM, COMMUNITY MENTAL HEALTH is an adolescent and children mental health clinic center in Lansing, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CLINTON, EATON, INGHAM, COMMUNITY MENTAL HEALTH NPI is 1093033367. The provider is registered as an organization entity type.

The provider's business location address is:

812 E JOLLY RD
SUITE 210
LANSING, MI
ZIP 48910-818
Phone: (517) 346-8200
Fax: (517) 346-8291

The provider's authorized official is Pamela S Flory .
The authorized official title is Reimbursement Manager and has the following contact phone number (517) 346-8209.

The enumeration date for this NPI number is 5/12/2010 and was last updated on 5/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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