Organization
EASTSIDE SUBSTANCE ABUSE CLINIC
Active
Other names
Eastside Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON SMITH D.O. (CEO)
(231) 739-4359
Entity
Organization
Contact information
Practice address
445 E SHERMAN BLVD, MUSKEGON HEIGHTS, MI 49444-2203
(231) 739-4359
(231) 733-6151
Mailing address
445 E SHERMAN BLVD, MUSKEGON HEIGHTS, MI 49444-2203
(231) 739-4359
(231) 733-6151
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L2010754
MI
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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