Organization
MACOMB COUNTY COMMUNITY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MICHELLE BONSCOUR BS (SUPPORTS COORDINATOR)
(586) 783-8113
Entity
Organization
Contact information
Practice address
21885 DUNHAM ROAD, CLINTON TWP, MI 48036-1030
(586) 783-8113
(586) 469-7925
Mailing address
207 JEFFREY AVE., ROYAL OAK, MI 48073-2583
(248) 515-9035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/13/2008
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