# MACOMB COUNTY COMMUNITY MENTAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043755218
- **Authorized official:** MR. MICHAEL JEROME DUBOSE LLMSW (CASE MANAGER III)
- **Authorized official phone:** (313) 918-8304

## Contact information

- **Practice address:** 43740 N GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1139
- **Practice address phone:** (586) 469-5200
- **Mailing address:** 5725 NEWBERRY DR, APT. 201, STERLING HEIGHTS, MI 48310-7434
- **Mailing address phone:** (313) 918-8304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 6801099305 | MI | Yes |

## Other

- **Enumeration date:** 12/27/2016
- **Last updated:** 12/27/2016