Organization
WILSON AND WYNN INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM GERARD LEONARD (THERAPIST)
(616) 855-5151
Entity
Organization
Contact information
Practice address
680 THREE MILE NW, SUITE 150, GRAND RAPIDS, MI 49544
(616) 647-3460
Mailing address
1148 ORCHARD AVE SE, GRAND RAPIDS, MI 49506-3547
(616) 855-5151
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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