Organization · Type 2 NPI

Blue Water Mental Health Clinic

Mental Health Clinic/Center (Including Community Mental Health Center) · Fort Gratiot, MI

NPI number 1174924864 Active

Practice location

1501 Krafft Rd
Fort Gratiot, MI 48059-3565

Call (810) 985-5125 Map

Fax (810) 985-5127

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XNone listed
Clinical Social Worker 1041C0700XNone listed
Psychiatry Physician 2084P0800XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1174924864

Blue Water Mental Health Clinic's National Provider Identifier is 1174924864, issued on Sep 12, 2014. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fort Gratiot, MI. The record was last updated on Sep 12, 2014.