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
ALLEN R EDLEFSON (CEO)
(269) 925-0585
Entity
Organization
Contact information
Practice address
1485 S. M-139, BENTON HARBOR, MI 49022
(269) 925-0585
(269) 927-1326
Mailing address
1485 S. M-139, BENTON HARBOR, MI 49022
(269) 925-0585
(269) 927-1326
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21-1716175
—
MI
01
—
750910730
BCBS
MI
Enumeration date
11/13/2006
Last updated
01/28/2008
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