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Organization
BERRIEN MENTAL HEALTH AUTHORITY
Active
Organization
BERRIEN MENTAL HEALTH AUTHORITY
Active
Other names
Riverwood Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT A LYZENGA (BUSINESS OFFICE MANAGER)
(269) 934-1611
Entity
Organization
Contact information
Practice address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 934-1611
Mailing address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 934-1611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1716175
—
MI
Enumeration date
09/20/2013
Last updated
10/05/2018
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