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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
MRS. LISA MICHELLE BONSCOUR BS (SUPPORTS COORDINATOR)
(586) 783-8113
Entity
Organization
Contact information
Practice address
21885 DUNHAM ROAD, CLINTON TWP, MI 48036-1030
(586) 783-8113
(586) 469-7925
Mailing address
207 JEFFREY AVE., ROYAL OAK, MI 48073-2583
(248) 515-9035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/13/2008
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