| NPI | 1386926004 |
|---|---|
| Doing Business As | SOUTHSIDE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TASHA BLACKMON CEO 616-965-8215 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| 207LA0401X Anesthesiology, Addiction Medicine | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2023-08-25 |