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Organization
BLUE WATER CENTER FOR INDEPENDENT LIVING
Active
Organization
BLUE WATER CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BROWN (CLINICAL DIRECTOR)
(810) 987-9337
Entity
Organization
Contact information
Practice address
310 WATER ST, PORT HURON, MI 48060-5431
(810) 987-9337
Mailing address
310 WATER ST, PORT HURON, MI 48060-5431
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
10/27/2006
Last updated
06/13/2016
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