Organization
CHANGE THROUGH TRANSITION, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE MARIE BEAUCHAMP SOCIAL WORKER (DIRECTOR)
(616) 222-0851
Entity
Organization
Contact information
Practice address
3375 MERRIAM ST STE 202, MUSKEGON, MI 49444-3173
(586) 467-0447
Mailing address
PO BOX 150137, GRAND RAPIDS, MI 49515-0137
(616) 821-8111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
6801057813
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568717635
NPI
MI
01
—
6801057813
SW LICENSE
MI
Enumeration date
07/14/2017
Last updated
06/23/2023
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