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3500 Byron Center Ave Sw Wyoming MI 49519-3260 | |
| (616) 208-9337 | |
| (616) 208-9337 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3500 Byron Center Ave Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Sara Marie Rice (OWNER) |
| Authorized Official Contact | 6162089337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2566 22 Mile Rd Nw Kent City MI 49330-9203 Ph: (616) 208-9337 | 3500 Byron Center Ave Sw Wyoming MI 49519-3260 Ph: (616) 208-9337 |
| NPI Number | 1619533577 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619533577 | NPI | - | NPPES |
| 14470467 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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