Organization
RESTORED MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEO ZANDSTRA LMSW, LCSW (PRESIDENT)
(616) 710-1955
Entity
Organization
Contact information
Practice address
5242 PLAINFIELD AVE NE STE F, GRAND RAPIDS, MI 49525-1084
(616) 710-1955
Mailing address
5242 PLAINFIELD AVE NE STE F, GRAND RAPIDS, MI 49525-1084
(616) 710-1955
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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