Organization
KENT COUNTY CMH AUTHORITY
Active
Parent organization
KENT COUNTY CMH AUTHORITY
Other names
Network 180 Crisis Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENT COUNTY CMH AUTHORITY
Authorized official
ANTHONY LESLIE (BEHAVIOR HEALTH BILLING SUPERVISOR)
(616) 855-5170
Entity
Organization
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
05/13/2024
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