# KALAMAZOO COUNTY COMMUNITY MENTAL HEALTH AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrated Services of Kalamazoo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508613209
- **Authorized official:** HOLLY GREENE (INSURANCE CREDENTIALING SPECIALIST)
- **Authorized official phone:** (269) 553-8027

## Contact information

- **Practice address:** 418 W KALAMAZOO AVE, KALAMAZOO, MI 49007-3334
- **Practice address phone:** (269) 553-8087
- **Practice address fax:** (269) 553-8104
- **Mailing address:** 418 W KALAMAZOO AVE, KALAMAZOO, MI 49007-3334
- **Mailing address phone:** (269) 553-8087
- **Mailing address fax:** (269) 553-8104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372500000X | Chore Provider | — | NULL | Yes |
| 372500000X | Chore Provider | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2024
- **Last updated:** 05/01/2024