Reliance Community Care Partners
NPI #1861045775 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1861045775
- Entity Type
- Organization
- Organization Name
- Reliance Community Care Partners
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RELIANCE COMMUNITY CARE PARTNERS
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jul 19, 2019
- Last Updated
- Sep 14, 2021
Practice Location
- Address
- 2100 RAYBROOK ST SE STE 100
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-5782
- Phone
- (616) 954-1555
Authorized Official
- Name
- DEBORAH M MATHESONNORTHERN, ABA
- Title
- BILLING SPECIALIST
- Phone
- (616) 954-1518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Psychiatry & Neurology - Geriatric Psychiatry — Geriatric Psychiatry |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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