Organization Name: | VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY |
NPI Number: | 1003878554 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA HESS (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 801 Hazen St Ste C Paw Paw |
State: | MI US |
Postal Code: | 490790249 |
Phone Number: | 2696575574 |
Fax Number: | 2696573474 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |