| Organization Name: | CASS COUNTY COMMMUNITY MENTAL HEALTH SERVICES |
| NPI Number: | 1659375293 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHY J BOES (CEO) |
| Mailing Address: | 960 E State St Cassopolis |
| State: | MI US |
| Postal Code: | 490319339 |
| Phone Number: | 2694452451 |
| Fax Number: | 2694453216 |
| NPI Enumeration Date: | 06/10/2005 |
| NPI Last Update Date: | 04/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |