BLUE WATER DEVELOPMENTAL HOUSING INC. NPI 1073602835

NPI Details

BLUE WATER DEVELOPMENTAL HOUSING INC. is a community behavioral health in Marysville, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BLUE WATER DEVELOPMENTAL HOUSING INC. NPI is 1073602835. The provider is registered as an organization entity type.

The provider's business location address is:

1600 GRATIOT BLVD BLDG A
MARYSVILLE, MI
ZIP 48040-145
Phone: (810) 388-1200
Fax: (810) 388-4272

The provider's authorized official is Kathleen Swantek .
The authorized official title is Executive Director and has the following contact phone number (810) 388-1200.

The CLIA number assigned to this NPI record is 23D1063285 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: