Organization
NEW BEGINNINGS
Active
Organization
NEW BEGINNINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE NICOLE DAVIS BSW (CARE COORDINATOR)
(616) 632-4407
Entity
Organization
Contact information
Practice address
1119 BURTON ST SE, GRAND RAPIDS, MI 49507-3367
(616) 632-4407
Mailing address
4490 SPRINGMONT DR SE, KENTWOOD, MI 49512-5372
(616) 632-4407
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
6802086484
MI
Other
Enumeration date
07/16/2010
Last updated
08/03/2010
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