| Organization Name: | CATHOLIC SERVICES OF MACOMB |
| NPI Number: | 1033349352 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS J REED (PRESIDENT AND CEO) |
| Mailing Address: | 700 S Main St Suite 211 Lapeer |
| State: | MI US |
| Postal Code: | 484463077 |
| Phone Number: | 8106644557 |
| Fax Number: | 8106645181 |
| NPI Enumeration Date: | 07/21/2009 |
| NPI Last Update Date: | 07/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401006955 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |