Organization
VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Active
Parent organization
VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Authorized official
MRS. DEBRA L-R HESS (C.E.O.)
(269) 657-5574
Entity
Organization
Contact information
Practice address
57418 CR 681, SUITE C, HARTFORD, MI 49057
(269) 621-6251
(269) 621-6044
Mailing address
P.O. BOX 249, 801 HAZEN STREET SUITE C, PAW PAW, MI 49079-0249
(269) 657-5574
(269) 657-3474
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705298
—
MI
Enumeration date
07/06/2010
Last updated
07/09/2010
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