Southwest Michigan Behavioral Health | |
5250 Lovers Ln Ste 200 Portage MI 49002-1579 | |
(269) 202-8328 | |
Not Available |
Full Name | Southwest Michigan Behavioral Health |
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Speciality | Community/behavioral Health |
Location | 5250 Lovers Ln Ste 200, Portage, Michigan |
Authorized Official Name and Position | Anne Wickham (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 2694886982 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southwest Michigan Behavioral Health 5250 Lovers Ln Suite 200 Portage MI 49002-1580 Ph: (269) 202-8328 | Southwest Michigan Behavioral Health 5250 Lovers Ln Ste 200 Portage MI 49002-1579 Ph: (269) 202-8328 |
NPI Number | 1871923268 |
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Provider Enumeration Date | 11/21/2013 |
Last Update Date | 08/12/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871923268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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