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General NPI Number Information
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NPI Number | 1669995221
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Entity Type | Organization
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Legal Business Name | EMERGING HOPE FAMILY STRENGTHENING PROGRAM
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/25/2017
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Provider Practice Location Address
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Address Line | 3825 EMERALD DR
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City | KALAMAZOO
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State | MI
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Zip | 49001-7919
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Country | US
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Telephone | 269-205-3356
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 224
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City | PORTAGE
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State | MI
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Zip | 49081-0224
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Country | US
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Telephone | 269-205-3356
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Fax |
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Authorized Official
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Title or Position | CO-DIRECTOR/FOUNDER
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Name | DR. PAMELA REGINA ROBINSON
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Credential | LLMSW, MDIV, DMIN
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Telephone | 269-205-3356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 6801091924
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 6801091924
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 6801091924
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 6801091924
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License Number State | MI
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