Bronson Lakeview Hospital Behavioral Health | |
404 Hazen St Suite L3 Paw Paw MI 49079-1040 | |
(269) 657-1595 | |
(269) 657-1534 |
Full Name | Bronson Lakeview Hospital Behavioral Health |
---|---|
Speciality | Social Worker - Clinical |
Location | 404 Hazen St, Paw Paw, Michigan |
Authorized Official Name and Position | Rebecca East (SVP,CFO) |
Authorized Official Contact | 2693416000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bronson Lakeview Hospital Behavioral Health 301 John St Box 42 Kalamazoo MI 49007-5295 Ph: (269) 341-7806 | Bronson Lakeview Hospital Behavioral Health 404 Hazen St Suite L3 Paw Paw MI 49079-1040 Ph: (269) 657-1595 |
NPI Number | 1639313174 |
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Provider Enumeration Date | 04/28/2009 |
Last Update Date | 07/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639313174 | NPI | - | NPPES |
0H010630 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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Kanaan Therapy And Behavioral Health Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 816 East Michigan Avenue, Suite 103, Paw Paw, MI 49079 Phone: 269-815-8168 | |
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