| Organization Name: | MICHIGAN BEHAVIORAL HEALTH INSTITUTE INC. |
| NPI Number: | 1144421314 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS LEROY FOSTER (MEDICAL DIRECTOR) |
| Mailing Address: | 863 N Pine Rd Suite B Essexville |
| State: | MI US |
| Postal Code: | 487322159 |
| Phone Number: | 9898932121 |
| Fax Number: | 9898932177 |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 02/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 090066 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |