|
| |
|
1485 M 139 Benton Harbor MI 49022-5711 | |
| (269) 934-1611 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1485 M 139, Benton Harbor, Michigan |
| Authorized Official Name and Position | Brett A Lyzenga (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 2699341611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1485 M 139 Benton Harbor MI 49022-5711 Ph: (269) 934-1611 | 1485 M 139 Benton Harbor MI 49022-5711 Ph: (269) 934-1611 |
| NPI Number | 1760818827 |
|---|---|
| Provider Enumeration Date | 09/20/2013 |
| Last Update Date | 10/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760818827 | NPI | - | NPPES |
| 1716175 | Medicaid | MI |
Bridges Of Courage Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1465 Pipestone Rd, Benton Harbor, MI 49022 Phone: 269-944-9274 | |
Samaritan Center Of Southwest Michigan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Colfax Ave, Benton Harbor, MI 49022 Phone: 269-926-6199 Fax: 269-926-6780 | |
Samaritan Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Colfax Ave, Benton Harbor, MI 49022 Phone: 269-926-6199 Fax: 269-926-6780 |