Organization Name: | COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN |
NPI Number: | 1336462001 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN OBERMESIK (EXECUTIVE DIRECTOR) |
Mailing Address: | 301 S Crapo St Suite 100 Mt Pleasant |
State: | MI US |
Postal Code: | 488582941 |
Phone Number: | 9897736961 |
Fax Number: | 9899534451 |
NPI Enumeration Date: | 03/09/2010 |
NPI Last Update Date: | 10/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |