# COMPREHENSIVE PSYIATRIC SERVICES OF WESTERN MI PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013095454
- **Authorized official:** DR. RONALD J DIRKSE MD (PRESIDENT CHILD PSYCHIATRIST)
- **Authorized official phone:** (616) 399-7005

## Contact information

- **Practice address:** 12978 JAMES STREET, STE 10, HOLLAND, MI 49424
- **Practice address phone:** (616) 399-7005
- **Practice address fax:** (616) 399-7150
- **Mailing address:** 12978 JAMES STREET, STE 10, HOLLAND, MI 49424
- **Mailing address phone:** (616) 399-7005
- **Mailing address fax:** (616) 399-7150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 032227 | MI | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 08/22/2020