Organization
CATHOLIC SOCAIL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MITCHELL D.O. (MEDICAL DIRECTOR)
(810) 987-9100
Entity
Organization
Contact information
Practice address
2601 13TH ST, PORT HURON, MI 48060-6546
(810) 987-9100
(810) 987-9105
Mailing address
2601 13TH ST, PORT HURON, MI 48060-6546
(810) 987-9100
(810) 987-9105
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
5101013191
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0N50220
—
MI
Enumeration date
10/27/2006
Last updated
05/19/2009
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