Organization
SANFORD WEST LLC
Active
Parent organization
SANFORD WEST LLC
Other names
SANFORD VETERANS AND FIRST RESPONDERS SUBSTANCE USE DISORDER PROGRAM
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANFORD WEST LLC
Authorized official
ALEC WILLIAM GEORGE GREEN (EXECUTIVE VICE PRESIDENT)
(616) 446-6413
Entity
Organization
Contact information
Practice address
221 JOHN ST NE, GRAND RAPIDS, MI 49503-3237
(844) 776-9651
(616) 341-6017
Mailing address
15146 16TH AVE, MARNE, MI 49435-9605
(844) 776-9651
(616) 341-6017
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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