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1609268754
GREAT LAKES BEHAVIORAL HEALTH PLC
GRAND RAPIDS, MI
NPI
1609268754
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Entity Type
Organization
Authorized Contact
DAVID VANDER VELDE
Owner
616-920-1816
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2015-02-26
Last Update Date
2015-06-02
Business Address
GREAT LAKES BEHAVIORAL HEALTH PLC
678 FRONT AVE NW SUITE 365
GRAND RAPIDS, MI 49504-5325
Phone number: 616-920-1816
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Mailing Address
GREAT LAKES BEHAVIORAL HEALTH PLC
678 FRONT AVE NW SUITE 365
GRAND RAPIDS, MI 49504-5325
Phone number: 616-920-1816
Copy
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