Organization
NEW BEGINNINGS MIHP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE DAVIS (COORDINATOR)
(616) 452-4030
Entity
Organization
Contact information
Practice address
1119 BURTON ST SE STE 100, GRAND RAPIDS, MI 49507-3367
(616) 452-4030
Mailing address
1119 BURTON ST SE STE 100, GRAND RAPIDS, MI 49507-3367
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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