Great Lakes Behavioral Health PLC
Great Lakes Behavioral Health PLC is a Psychiatry Physician in Grand Rapids, Michigan. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
678 Frnt Ave NW Ste 365Grand Rapids, MI 49504-5325
Phone: (616) 920-1816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1609268754 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Vander Velde — Owner · (616) 920-1816 |
| NPI enumerated | February 26, 2015 |
| Last updated in NPPES | June 2, 2015 |
| Mailing address | 678 Front Ave Nw, Suite 365, Grand Rapids, MI 49504-5325 |
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