Organization
MEDICAL BEHAVIORAL HOSPITAL OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BURROUGHS (CEO)
(574) 315-4610
Entity
Organization
Contact information
Practice address
5802 S 9TH ST, KALAMAZOO, MI 49009-9603
(574) 277-2630
Mailing address
112 W JEFFERSON BLVD STE 600, SOUTH BEND, IN 46601-1921
(574) 277-2630
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/14/2024
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