Organization · NPI-2
616 Center For Behavioral Health
Social Worker, Clinical · Grand Rapids, MI
NPI number1265138135
StatusActive
Last updated in NPPESFeb 2, 2023
Details
- NPI
- 1265138135
- Entity type
- Organization (NPI-2)
- Legal business name
- 616 Center For Behavioral Health
- Organization subpart
- No
- Enumeration date
- Feb 2, 2023
- Certification date
- Feb 2, 2023
- Last updated
- Feb 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
3501 Lake Eastbrook Blvd Se Ste 120Grand Rapids, MI 49546-5939
Phone 616-914-6471
Mailing address
3501 Lake Eastbrook Blvd Se Ste 120Grand Rapids, MI 49546-5939
Phone 616-914-6471
Authorized official
Meghan Lytle-Burrows
Owner/Provider
6169146471
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