IMPACT

PORT HURON, MI
NPI1407130578
Doing Business AsCHR
Entity TypeOrganization
Authorized ContactROBERT E. GAMBLE
Clinical Director
810-985-5168
Organization Subpart ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MI  6801093360)
Enumeration Date2011-10-06
Last Update Date2011-10-06
Business Address
IMPACT
1001 MILITARY ST
PORT HURON, MI 48060-5416
Phone number: 810-985-5168
Mailing Address
IMPACT
1001 MILITARY ST
PORT HURON, MI 48060-5416
Phone number: 810-985-5168