| Chr | |
|
1001 Military St Port Huron MI 48060-5416 | |
| (810) 985-5168 | |
| (800) 248-1568 |
| Full Name | Chr |
|---|---|
| Speciality | Counselor |
| Location | 1001 Military St, Port Huron, Michigan |
| Authorized Official Name and Position | Robert E. Gamble (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8109855168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chr 1001 Military St Port Huron MI 48060-5416 Ph: (810) 985-5168 | Chr 1001 Military St Port Huron MI 48060-5416 Ph: (810) 985-5168 |
| NPI Number | 1407130578 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 10/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407130578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6801093360 (Michigan) | Primary |
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