KENT COUNTY CMH AUTHORITY NPI 1396404588

NPI Details

KENT COUNTY CMH AUTHORITY is a community behavioral health in Grand Rapids, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. KENT COUNTY CMH AUTHORITY NPI is 1396404588. The provider is registered as an organization entity type.
The provider Is Doing Business As Network 180 Crisis Unit.

The provider's business location address is:

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503-918
Phone: (616) 336-3909

The provider's authorized official is Anthony Leslie .
The authorized official title is Behavior Health Billing Supervisor and has the following contact phone number (616) 855-5170.

The CLIA number assigned to this NPI record is 23D2029609 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2021 and was last updated on 5/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: