Organization
VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Active
Organization
VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA HESS CEO (CHIEF EXECUTIVE OFFICER)
(269) 657-5574
Entity
Organization
Contact information
Practice address
801 HAZEN ST, STE C, PAW PAW, MI 49079-0249
(269) 657-5574
(269) 657-3474
Mailing address
PO BOX 249, 801 HAZEN ST STE C, PAW PAW, MI 49079-0249
(269) 657-5574
(269) 657-3474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/03/2006
Last updated
01/31/2008
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