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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