Organization
COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY
Active
Other names
Pivotal, Community Mental Health and Substance Abuse Services of St Joseph Coun
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON BULLOCK MBA (CEO)
(269) 467-1001
Entity
Organization
Contact information
Practice address
677 E MAIN ST STE A, CENTREVILLE, MI 49032-8525
(269) 467-1000
(269) 467-3075
Mailing address
677 E MAIN ST STE A, CENTREVILLE, MI 49032-8525
(269) 467-1000
(269) 467-3075
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708146
—
MI
Enumeration date
09/23/2005
Last updated
05/31/2023
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