| Organization Name: | KALAMAZOO COMMUNITY MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES |
| NPI Number: | 1407066830 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF PATTON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 3299 Gull Road Nazareth |
| State: | MI US |
| Postal Code: | 490740063 |
| Phone Number: | 2695538000 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |