Organization
HTC OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIEN L. SMITH LAMARCK SMITH (MEMBER)
(269) 926-0015
Entity
Organization
Contact information
Practice address
1022 E MAIN ST, BENTON HARBOR, MI 49022-3036
(269) 926-0015
(269) 926-0123
Mailing address
1022 E MAIN ST, P.O. BOX 929, BENTON HARBOR, MI 49022-3036
(269) 926-0015
(269) 926-0123
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
110105
MI
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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