Organization
BLUE WATER CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BROWN (CLINICAL DIRECTOR)
(810) 987-9337
Entity
Organization
Contact information
Practice address
310 WATER ST, PORT HURON, MI 48060-5431
(810) 987-9337
Mailing address
310 WATER ST, PORT HURON, MI 48060-5431
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
06/13/2016
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