Organization
OTTAWA COUNTY CMH
Active
Other names
BCBS 785 W. Randall
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD CYRANOWSKI (EXECUTIVE DIRECTOR)
(616) 393-5649
Entity
Organization
Contact information
Practice address
785 W RANDALL ST, COOPERSVILLE, MI 49404-1307
(616) 837-8171
(616) 837-5823
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
—
—
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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