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Organization

FOR MEN THERAPY AND COACHING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW DEWIT (OWNER)
(269) 806-5719
Entity
Organization

Contact information

Practice address
1430 ROBINSON RD SE STE 218, GRAND RAPIDS, MI 49506-1780
(269) 806-5719
Mailing address
1335 CALVIN AVE SE, GRAND RAPIDS, MI 49506-3211

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
12/02/2025
Last updated
12/02/2025
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