Blue Water Mental Health Clinic
NPI #1174924864 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1174924864
- Entity Type
- Organization
- Organization Name
- Blue Water Mental Health Clinic
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Sep 12, 2014
- Last Updated
- Sep 12, 2014
Practice Location
- Address
- 1501 KRAFFT RD
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-3565
- Phone
- (810) 985-5125
Authorized Official
- Name
- LINDA A LIETHEN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (810) 985-5125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Social Worker - Clinical — Clinical |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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