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Organization
KALAMAZOO COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Organization
KALAMAZOO COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT DAVIS (DEPUTY DIRECTOR)
(269) 553-8017
Entity
Organization
Contact information
Practice address
615 E CROSSTOWN PKWY, KALAMAZOO, MI 49001-2501
(269) 553-7000
(269) 553-8012
Mailing address
2030 PORTAGE ST, KALAMAZOO, MI 49001-3836
(269) 553-7000
(269) 553-8012
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SA0390177
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4352736
—
MI
Enumeration date
11/03/2006
Last updated
03/17/2018
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