Organization
KENT COUNTY CMH AUTHORITY
Active
Other names
Network 180
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JOSEPH WARD (EXECUTIVE DIRECTOR)
(616) 855-5201
Entity
Organization
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4483587
—
MI
Enumeration date
01/16/2012
Last updated
09/27/2019
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