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Organization

COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN

Active
Other names
Community Mental Health for Central Michigan
Organization subpart
No

Provider details

NPI number
Authorized official
BRYAN KROGMAN (EXECUTIVE DIRECTOR)
(989) 772-5938
Entity
Organization

Contact information

Practice address
301 S CRAPO ST STE 200, MT PLEASANT, MI 48858-2941
(989) 772-5938
(989) 775-7701
Mailing address
301 S CRAPO ST STE 100, MT PLEASANT, MI 48858-2941
(989) 772-5938
(989) 773-1968

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary
208D00000X
General Practice Physician
225X00000X
Occupational Therapist
225XM0800X
Mental Health Occupational Therapist
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist

Other

Enumeration date
11/22/2019
Last updated
04/21/2023
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