| Western Michigan Treatment Center | |
|
3584 Fairlanes Ave. Sw Ste 2 Grandville MI 49418-1583 | |
| (616) 222-5300 | |
| (616) 222-5309 |
| Full Name | Western Michigan Treatment Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3584 Fairlanes Ave. Sw, Grandville, Michigan |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Michigan Treatment Center 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (615) 861-6000 | Western Michigan Treatment Center 3584 Fairlanes Ave. Sw Ste 2 Grandville MI 49418-1583 Ph: (616) 222-5300 |
| NPI Number | 1710453485 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710453485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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