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General NPI Number Information
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NPI Number | 1740104629
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Entity Type | Organization
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Legal Business Name | MIDWEST BEHAVIORAL HEALTH CENTER II
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 500 E POTTAWATAMIE ST
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City | TECUMSEH
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State | MI
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Zip | 49286-2018
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Country | US
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Telephone | 888-262-8310
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Fax | 888-289-2310
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Provider Business Mailing Address
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Address Line | 500 E POTTAWATAMIE ST
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City | TECUMSEH
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State | MI
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Zip | 49286-2018
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Country | US
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Telephone | 888-262-8310
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Fax | 888-289-2310
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Authorized Official
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Title or Position | CEO
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Name | KENNETH WEBER
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Credential |
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Telephone | 419-290-8884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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