Organization
INTERACT OF MICHIGAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER PARKER (EXECUTIVE DIRECTOR)
(269) 381-3700
Entity
Organization
Contact information
Practice address
610 SOUTH BURDICK ST, KALAMAZOO, MI 49007-5221
(269) 381-3700
(269) 381-3810
Mailing address
610 SOUTH BURDICK ST, KALAMAZOO, MI 49007-5221
(269) 381-3700
(269) 381-3810
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104749966
—
MI
05
—
104934875
—
MI
05
—
104990337
—
MI
05
—
1760419691
—
MI
Enumeration date
06/27/2006
Last updated
07/29/2019
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