Organization
COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN
Active
Organization
COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN OBERMESIK (EXECUTIVE DIRECTOR)
(989) 772-5930
Entity
Organization
Contact information
Practice address
301 S CRAPO ST, SUITE 100, MT PLEASANT, MI 48858-2941
(989) 773-6961
(989) 953-4451
Mailing address
301 S CRAPO ST, SUITE 100, MT PLEASANT, MI 48858-2941
(989) 773-6961
(989) 953-4451
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4344340
—
MI
05
—
4352754
—
MI
Enumeration date
03/09/2010
Last updated
11/30/2018
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