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Organization
MACOMB COUNTY COMMUNITY MENTAL HEALTH
Active
Organization
MACOMB COUNTY COMMUNITY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMA C JOSEF M.D. (MEDICAL DIRECTOR)
(586) 948-0240
Entity
Organization
Contact information
Practice address
43740 N GROESBECK HWY, CLINTON TWP, MI 48036-1139
(586) 469-5774
(586) 469-7958
Mailing address
22550 HALL RD, CLINTON TWP, MI 48036-1189
(586) 469-5275
(586) 469-7958
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3396315
TYPE 21 MEDICAID
MI
05
—
4350464
—
MI
Enumeration date
05/22/2006
Last updated
02/02/2010
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