# G.S.M., INC. - EAST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** G.S.M., INC.
- **Other names:** G.S.M., Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679834949
- **Legal business name:** G.S.M., INC.
- **Authorized official:** MRS. KIM RENEE PAGE (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (810) 743-4020

## Contact information

- **Practice address:** 3490 GREENLY ST, BURTON, MI 48529-2218
- **Practice address phone:** (810) 743-4020
- **Practice address fax:** (810) 743-7370
- **Mailing address:** 3490 GREENLY ST, BURTON, MI 48529-2218
- **Mailing address phone:** (810) 743-4020
- **Mailing address fax:** (810) 743-7370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | AL250314581 | MI | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AL250314581 | MI | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | AL250314581 | MI | — |

## Other

- **Enumeration date:** 06/04/2012
- **Last updated:** 06/04/2012
