# HENRY FORD MACOMB HOSPITAL CORPORATION

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

## Provider details

- **NPI number:** 1225171218
- **Authorized official:** STEPHEN J. HATHAWAY (VICE-PRESIDENT FINANCE-CFO)
- **Authorized official phone:** (586) 263-2705

## Contact information

- **Practice address:** 43411 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1152
- **Practice address phone:** (586) 226-7007
- **Mailing address:** 215 NORTH AVE, MOUNT CLEMENS, MI 48043-1716
- **Mailing address phone:** (586) 226-7007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | MI | Yes |
| 101YM0800X | Mental Health Counselor | — | MI | — |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 04/23/2021
