# COUNTY OF GENESEE OFFICE OF CONTROLLER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesee County Community Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235115460
- **Authorized official:** MR. DANIS RUSSELL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (810) 257-3707

## Contact information

- **Practice address:** 420 W 5TH AVE, FLINT, MI 48503
- **Practice address phone:** (810) 257-3736
- **Practice address fax:** (810) 257-3785
- **Mailing address:** 420 W 5TH AVE, FLINT, MI 48503
- **Mailing address phone:** (810) 257-3736
- **Mailing address fax:** (810) 257-3785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | ME0100974 | MI | Yes |

## Other

- **Enumeration date:** 12/20/2005
- **Last updated:** 08/22/2020