Provider Demographics
NPI:1508886961
Name:BRONSON BATTLE CREEK
Entity Type:Organization
Organization Name:BRONSON BATTLE CREEK
Other - Org Name:HELPNET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:V
Authorized Official - Last Name:BLANKS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:269-245-3882
Mailing Address - Street 1:36 MANCHESTER ST W
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3016
Mailing Address - Country:US
Mailing Address - Phone:269-660-3900
Mailing Address - Fax:269-660-3899
Practice Address - Street 1:36 MANCHESTER ST W
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3016
Practice Address - Country:US
Practice Address - Phone:269-660-3900
Practice Address - Fax:269-245-3900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRONSON BATTLE CREEK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-20
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)