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1440 E Empire Ave Benton Harbor MI 49022-2020 | |
(269) 487-9820 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1440 E Empire Ave, Benton Harbor, Michigan |
Authorized Official Name and Position | Tami Gould (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2694879827 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1440 E Empire Ave Benton Harbor MI 49022-2020 Ph: (269) 487-9820 | 1440 E Empire Ave Benton Harbor MI 49022-2020 Ph: (269) 487-9820 |
NPI Number | 1174863732 |
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Provider Enumeration Date | 02/19/2013 |
Last Update Date | 02/26/2024 |
Certification Date | 02/26/2024 |
Identifier | Type | State | Issuer |
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1174863732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (Michigan) | Primary |
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