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Organization
SANFORD PSYCH SERVICES LLC
Active
Organization
SANFORD PSYCH SERVICES LLC
Active
Other names
Sanford Veterans and First Responders
Organization subpart
No
Provider details
NPI number
Authorized official
MALISSA WEBBER (CREDENTIALING SPECIALIST)
(616) 520-9074
Entity
Organization
Contact information
Practice address
221 JOHN ST NE, GRAND RAPIDS, MI 49503-3237
(844) 776-9651
Mailing address
15146 16TH AVE, MARNE, MI 49435-9605
(844) 776-9651
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/22/2025
Last updated
08/15/2025
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