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Contact Information

VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
57418 CR 681
SUITE C
HARTFORD, MI49057
 Phone: 269-621-6251
 Fax: 269-621-6044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY · (Female)

NPI Number 1982916045
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2010
Last updated 07/09/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Medicaid 1705298
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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