Organization
MACOMB COUNTY COMMUNITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JEROME DUBOSE LLMSW (CASE MANAGER III)
(313) 918-8304
Entity
Organization
Contact information
Practice address
43740 N GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1139
(586) 469-5200
Mailing address
5725 NEWBERRY DR, APT. 201, STERLING HEIGHTS, MI 48310-7434
(313) 918-8304
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6801099305
MI
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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