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Contact Information

GENESEE COUNTY COMMUNITY MENTAL HEALTH
420 W 5TH AVE
FLINT, MI48503-2445
 Phone: 810-257-3736
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GENESEE COUNTY COMMUNITY MENTAL HEALTH

NPI # 1912225111
LBN Legal business name GENESEE COUNTY COMMUNITY MENTAL HEALTH
Authorized official DANIS RUSSELL - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2010
Last updated 05/12/2010 - About 16 years ago
Identifiers
MI Medicaid 774350384
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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