Organization · Type 2 NPI

Van Buren Community Mental Health Authority

Child & Adolescent Psychiatry Physician · Hartford, MI

NPI number 1982916045 Active

Practice location

57418 Cr 681, Suite C
Hartford, MI 49057

Fax (269) 621-6044

Mailing address

P.o. Box 249, 801 Hazen Street Suite C
Paw Paw, MI 49079-0249

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Child & Adolescent Psychiatry Physician Primary 2084P0804XNone listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

9 other providers at this address

About NPI 1982916045

Van Buren Community Mental Health Authority's National Provider Identifier is 1982916045, issued on Jul 6, 2010. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Hartford, MI. The record was last updated on Jul 9, 2010.