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Organization

COUNTY OF OTTAWA

Active
Other names
Ottawa County Community Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL BRASHEARS PSY.D (EXECUTIVE DIRECTOR)
(616) 393-5641
Entity
Organization

Contact information

Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 393-5641
(616) 393-5687
Mailing address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 393-5641
(616) 393-5687

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20062142
MI

Other

Enumeration date
05/27/2010
Last updated
05/27/2010
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