Organization
COUNTY OF BARRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN J. SHUMWAY (EXECUTIVE DIRECTOR)
(269) 945-2942
Entity
Organization
Contact information
Practice address
206 W COURT ST, SUITE 104, HASTINGS, MI 49058-1874
(877) 489-9084
(269) 948-3317
Mailing address
206 W COURT ST, SUITE 104, HASTINGS, MI 49058-1874
(877) 489-9084
(269) 948-3317
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
080001
MI
Other
Enumeration date
08/11/2005
Last updated
08/22/2020
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