Organization
HOPE NETWORK BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP WEAVER (PRESIDENT)
(616) 301-8000
Entity
Organization
Contact information
Practice address
11652 W GRAND RIVER AVE, LOWELL, MI 49331-8465
(616) 897-5900
(616) 897-5954
Mailing address
PO BOX 890, 3075 ORCHARD VISTA DRIVE SE, GRAND RAPIDS, MI 49546-7069
(616) 301-8000
(616) 301-8010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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