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 |
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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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