Eastern Clinic PLLC
Eastern Clinic PLLC is a Methadone Clinic in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2015.
- Licensed in
- MI
- In the registry since
- 2015
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1555 Eastern Ave SEGrand Rapids, MI 49507-2055
Phone: (616) 243-6262
Fax: (616) 243-6969
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Methadone Clinic (primary) | Taxonomy 261QM2800X · Licence SA0410165 (MI) |
|---|
Record details
| NPI number | 1942675426 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daryl Smith — Program Director · (616) 243-6262 |
| NPI enumerated | December 9, 2015 |
| Last updated in NPPES | December 9, 2015 |
| Mailing address | 1555 Eastern Ave Se, Grand Rapids, MI 49507-2055 |