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ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY NPI 1104670876


NPI Information

NPI: 1104670876
Provider Name: ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2415 24TH ST
PORT HURON, MI
ZIP 48060
Phone: (810) 488-8840
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ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY is a mental health (including community mental health center) clinic center in Port Huron, MI. ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY NPI is 1104670876. The provider is registered as an organization entity type.

The provider's business location address is:

2415 24TH ST
PORT HURON, MI
ZIP 48060-414
Phone: (810) 488-8840
Fax: (810) 966-3393

The provider's authorized official is Mary Mcdonald .
The authorized official title is Contract Manager and has the following contact phone number (810) 966-2598.

The enumeration date for this NPI number is 4/17/2024 and was last updated on 4/17/2024.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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