Organization
FOUNTAIN HILL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY VAN GUNST M.A., L.P.C. (EXECUTIVE COORDINATOR)
(616) 456-1178
Entity
Organization
Contact information
Practice address
534 FOUNTAIN ST NE, GRAND RAPIDS, MI 49503
(616) 456-1178
Mailing address
534 FOUNTAIN ST NE, GRAND RAPIDS, MI 49503
(616) 456-1178
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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