Organization
ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Parent organization
ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Other names
St Clair County Community Mental Health West-Capac
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Authorized official
DEBRA B JOHNSON (EXECUTIVE DIRECTOR)
(810) 985-8900
Entity
Organization
Contact information
Practice address
14675 DOWNEY RD, CAPAC, MI 48014-3016
(810) 395-4343
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10688
BLUE CROSS BLUE SHIELD
MI
05
—
1708164
—
MI
05
—
4349015
—
MI
Enumeration date
02/21/2007
Last updated
06/12/2025
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