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Organization

OPTUM BEHAVIORAL CARE OF COLORADO, P.C.

Active
Other names
Jenison Psychological Services of Michigan
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE JOHNSON (CEO)
(704) 506-6267
Entity
Organization

Contact information

Practice address
1836 BALDWIN ST, JENISON, MI 49428-8901
(616) 457-0016
Mailing address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(616) 457-0016

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
03/04/2024
Last updated
03/24/2025
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