Provider Demographics
NPI:1508973504
Name:BEHAVORIAL HEALTH CARE, P.C.
Entity Type:Organization
Organization Name:BEHAVORIAL HEALTH CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARJANEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-969-6108
Mailing Address - Street 1:PO BOX 1596
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49016-1596
Mailing Address - Country:US
Mailing Address - Phone:269-969-6108
Mailing Address - Fax:269-969-8732
Practice Address - Street 1:363 FREMONT ST
Practice Address - Street 2:SUITE 300
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49016
Practice Address - Country:US
Practice Address - Phone:269-969-6108
Practice Address - Fax:269-969-8732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N34670Medicare PIN
G89612Medicare UPIN