Organization
RELIANCE COMMUNITY CARE PARTNERS
Active
Parent organization
RELIANCE COMMUNITY CARE PARTNERS
Other names
Reliance Integrated Wellness Center, HHS Health Options
Organization subpart
Yes
Provider details
NPI number
Legal business name
RELIANCE COMMUNITY CARE PARTNERS
Authorized official
DEBORAH M MATHESONNORTHERN ABA (BILLING SPECIALIST)
(616) 954-1518
Entity
Organization
Contact information
Practice address
2100 RAYBROOK ST SE STE 100, GRAND RAPIDS, MI 49546-5782
(616) 954-1555
(616) 954-1520
Mailing address
2100 RAYBROOK ST SE STE 203, GRAND RAPIDS, MI 49546-5783
(616) 954-1518
(616) 954-1520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/19/2019
Last updated
09/14/2021
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