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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