Organization
OTTAWA COUNTY CMH
Active
Other names
BCBS 1111 Fulton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD CYRANOWSKI (EXECUTIVE DIRECTOR)
(616) 393-5649
Entity
Organization
Contact information
Practice address
1111 FULTON ST, GRAND HAVEN, MI 49417-1569
(616) 842-5350
(616) 842-0886
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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