Organization
SOUTHWEST MICHIGAN BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE WICKHAM (DIRECTOR OF OPERATIONS)
(269) 488-6982
Entity
Organization
Contact information
Practice address
5250 LOVERS LN STE 200, PORTAGE, MI 49002-1579
(800) 676-0423
Mailing address
5250 LOVERS LN STE 200, PORTAGE, MI 49002-1579
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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