Individual provider · Type 1 NPI

Terrie Crockett

Mental Illness Community Based Residential Treatment Facility · Flint, MI

NPI number 1467820563 Active

Practice location

304 W Tobias St
Flint, MI 48503-3975

Call (810) 233-4093 Map

Fax (810) 233-4964

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1467820563

Terrie Crockett's National Provider Identifier is 1467820563, issued on Sep 4, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Flint, MI. The record was last updated on Sep 4, 2015.