# RELIANCE COMMUNITY CARE PARTNERS

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

## Provider details

- **NPI number:** 1417005257
- **Authorized official:** MR. STEVE VELZEN-HANER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (616) 954-1547

## Contact information

- **Practice address:** 2100 RAYBROOK SE, SUITE 203, GRAND RAPIDS, MI 49546-5783
- **Practice address phone:** (616) 956-9440
- **Practice address fax:** (616) 954-1522
- **Mailing address:** 2100 RAYBROOK SE, SUITE 203, GRAND RAPIDS, MI 49546-5783
- **Mailing address phone:** (616) 956-9440
- **Mailing address fax:** (616) 954-1522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | — |
| 251B00000X | Case Management Agency | 4508891 | MI | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 09/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4508891 | — | MI |