Organization
COUNTY OF OTTAWA
Active
Other names
Ottawa County Community Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNE DOYLE (EXECUTIVE DIRECTOR)
(616) 494-5421
Entity
Organization
Contact information
Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 393-5600
(616) 393-5687
Mailing address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 393-5600
(616) 393-5687
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103234489
—
MI
05
—
104359998
—
MI
05
—
104948647
—
MI
05
—
174454610
—
MI
05
—
774350428
—
MI
Enumeration date
04/18/2006
Last updated
12/18/2023
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