| Samaritan Center Of Southwest Michigan | |
|
1850 Colfax Ave Benton Harbor MI 49022-6753 | |
| (269) 926-6199 | |
| (269) 926-6780 |
| Full Name | Samaritan Center Of Southwest Michigan |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1850 Colfax Ave, Benton Harbor, Michigan |
| Authorized Official Name and Position | Josephine C Cassar (SOCIAL WORKER) |
| Authorized Official Contact | 2699266199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Center Of Southwest Michigan 1850 Colfax Ave Benton Harbor MI 49022-6753 Ph: (269) 926-6199 | Samaritan Center Of Southwest Michigan 1850 Colfax Ave Benton Harbor MI 49022-6753 Ph: (269) 926-6199 |
| NPI Number | 1356514319 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356514319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801016920 (Michigan) | Primary |
| 106H00000X | Marriage & Family Therapist | 4101005789 (Michigan) | Secondary |
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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 |