Organization
HOMEWARD BOUND THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD L GROOTERS LMSW, ACSW (CEO/PRESIDENT)
(616) 560-0019
Entity
Organization
Contact information
Practice address
436 44TH ST SE, SUITE C, GRAND RAPIDS, MI 49548-4371
(616) 560-0019
(616) 233-0630
Mailing address
1521 PROVIDENCE COVE CT, BYRON CENTER, MI 49315-9149
(616) 560-0019
(616) 233-0630
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801061511
MI
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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