# MACOMB COUNTY COMMUNITY MENTAL HEALTH

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

## Provider details

- **NPI number:** 1851433643
- **Authorized official:** MRS. LISA MICHELLE BONSCOUR BS (SUPPORTS COORDINATOR)
- **Authorized official phone:** (586) 783-8113

## Contact information

- **Practice address:** 21885 DUNHAM ROAD, CLINTON TWP, MI 48036-1030
- **Practice address phone:** (586) 783-8113
- **Practice address fax:** (586) 469-7925
- **Mailing address:** 207 JEFFREY AVE., ROYAL OAK, MI 48073-2583
- **Mailing address phone:** (248) 515-9035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/13/2008