Organization
COMPREHENSIVE YOUTH SERVICES INC
Active
Other names
Clinton Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALAN OLDHAM (CEO)
(586) 463-7079
Entity
Organization
Contact information
Practice address
2 CROCKER BLVD STE 205, MOUNT CLEMENS, MI 48043-2558
(586) 463-7079
(586) 468-4505
Mailing address
2 CROCKER BOULEVARD, SUITE 103, MT CLEMENS, MI 48043-2558
(586) 463-7079
(586) 468-4505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
500017
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125582
VALUE OPTIONS
—
01
—
20476
BCBSM
MI
Enumeration date
03/28/2007
Last updated
03/08/2023
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