Organization
CATHOLIC CHARITIES WEST MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI HOFFMAN (BEHAVIORAL HEALTH)
(616) 356-6245
Entity
Organization
Contact information
Practice address
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 456-1446
Mailing address
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 456-1446
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401008939
MI
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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