| Homeward Bound Therapeutic Services | |
|
436 44th St Se Suite C Grand Rapids MI 49548-4371 | |
| (616) 560-0019 | |
| (616) 233-0630 |
| Full Name | Homeward Bound Therapeutic Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 436 44th St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Ronald L Grooters (CEO/PRESIDENT) |
| Authorized Official Contact | 6165600019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homeward Bound Therapeutic Services 1521 Providence Cove Ct Byron Center MI 49315-9149 Ph: (616) 560-0019 | Homeward Bound Therapeutic Services 436 44th St Se Suite C Grand Rapids MI 49548-4371 Ph: (616) 560-0019 |
| NPI Number | 1104202209 |
|---|---|
| Provider Enumeration Date | 07/31/2015 |
| Last Update Date | 07/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104202209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801061511 (Michigan) | Primary |
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