Organization
KALAMAZOO COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT DAVIS (DEPUTY DIRECTOR)
(269) 553-8017
Entity
Organization
Contact information
Practice address
615 E CROSSTOWN PKWY, KALAMAZOO, MI 49001-2501
(269) 553-7000
(269) 553-8012
Mailing address
2030 PORTAGE ST, KALAMAZOO, MI 49001-3836
(269) 553-7000
(269) 553-8012
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SA0390177
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4352736
—
MI
Enumeration date
11/03/2006
Last updated
03/17/2018
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