NPI | 1508449521 |
---|---|
Doing Business As | SANFORD WEST BEHAVIORAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | STEPHANIE ROBINSON TALBERT Credentialing & Contracting Mgr 616-520-9074 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-04-29 |
Last Update Date | 2022-11-02 |