Organization
VAN BUREN COMMUNITY MENTAL HEALTH PHYSICIAN PROFESSIONAL GROUP
Active
Parent organization
VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Authorized official
MRS. DEBRA L.-R. HESS (CHIEF EXECUTIVE OFFICER)
(269) 657-5574
Entity
Organization
Contact information
Practice address
801 HAZEN STREET, SUITE C, PAW PAW, MI 49079-0249
(269) 657-5574
(269) 657-3474
Mailing address
P.O. BOX 249, 801 HAZEN STREET SUITE C, PAW PAW, MI 49079-0249
(269) 657-5574
(269) 657-3474
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
—
—
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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