# GENESEE COUNTY COMMUNITY MENTAL HEALTH

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

## Provider details

- **NPI number:** 1750656179
- **Authorized official:** MR. DANIS RUSSEL (CEO)
- **Authorized official phone:** (810) 257-3700

## Contact information

- **Practice address:** 420 W FIFTH AVENUE, FLINT, MI 48503-2445
- **Practice address phone:** (810) 496-5304
- **Mailing address:** 420 W 5TH AVE, FLINT, MI 48503-2445
- **Mailing address phone:** (810) 496-5304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 6802068346 | MI | Yes |

## Other

- **Enumeration date:** 03/19/2012
- **Last updated:** 03/19/2012