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Organization

COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARISSA WALKER (OUTPATIENT THERAPIST)
(989) 213-4306
Entity
Organization

Contact information

Practice address
218 FAST ICE DRIVE, MIDLAND, MI 48642
(989) 631-2320
Mailing address
5760 SOUTH HURON ROAD, PINCONNING, MI 48650

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801093039
MI

Other

Enumeration date
11/19/2011
Last updated
11/19/2011
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