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Organization

EMERGING HOPE FAMILY STRENGTHENING PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAMELA REGINA ROBINSON LLMSW, MDIV, DMIN (CO-DIRECTOR/FOUNDER)
(269) 205-3356
Entity
Organization

Contact information

Practice address
3825 EMERALD DR, KALAMAZOO, MI 49001-7919
(269) 205-3356
Mailing address
PO BOX 224, PORTAGE, MI 49081-0224
(269) 205-3356

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
6801091924
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6801091924
MI
261QM0850X
Adult Mental Health Clinic/Center
6801091924
MI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
6801091924
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801091924
LIMITED MASTER'S SOCIAL WORKER
MI
Enumeration date
07/25/2017
Last updated
07/25/2017
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