Organization
RIVERSIDE PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GODFREY ABUYA PMHNP (MANAGER)
(616) 334-0011
Entity
Organization
Contact information
Practice address
2180 44TH ST SE STE 107, GRAND RAPIDS, MI 49508-5305
(616) 425-9666
Mailing address
5082 BREEZEFIELD DR SE, GRAND RAPIDS, MI 49512-9520
(616) 334-0011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
05/14/2025
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