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Mrs. Kathleen Sue Burke
Mental Illness Community Based Residential Treatment Facility in Montrose, Michigan
NPI 1316198260

Kathleen Sue Burke is a Mental Illness Community Based Residential Treatment Facility based in Montrose, MI. Kathleen Sue Burke practices in Montrose, MI. The NPI Number for Kathleen Sue Burke is 1316198260 and holds a License No. AF 250247793 (Michigan).

The current practice location address for Kathleen Sue Burke is 138 Washington, Montrose, MI and can be reached out via phone at 810-639-4520.

Location: 138 Washington, Montrose, MI, 48457-7719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316198260
Provider Name
Kathleen Sue Burke
Credential
Provider Entity Type
Individual
Gender
Female
Address
138 Washington, Montrose, MI, 48457-7719
Phone Number
810-639-4520
Fax Number
Provider Enumeration Date
10/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9182961 05 MI
institution
Provider Business Practice Location Address Details
Address
138 Washington
City
Montrose
State
Michigan
Zip
48457-7719
Phone Number
810-639-4520
Fax Number
person
Provider Business Mailing Address Details
Address
138 Washington
City
Montrose
State
Michigan
Zip
48457-7719
Phone Number
810-639-4520
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
AF 250247793 (Michigan)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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