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EASTSIDE SUBSTANCE ABUSE CLINIC NPI 1609145648


NPI Information

NPI: 1609145648
Provider Name: EASTSIDE SUBSTANCE ABUSE CLINIC

Other Name: EASTSIDE OUTPATIENT SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
445 E SHERMAN BLVD
MUSKEGON HEIGHTS, MI
ZIP 49444
Phone: (231) 739-4359
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EASTSIDE SUBSTANCE ABUSE CLINIC is a community behavioral health in Muskegon Heights, 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. EASTSIDE SUBSTANCE ABUSE CLINIC NPI is 1609145648. The provider is registered as an organization entity type.
The provider Other Name Is Eastside Outpatient Services.

The provider's business location address is:

445 E SHERMAN BLVD
MUSKEGON HEIGHTS, MI
ZIP 49444-203
Phone: (231) 739-4359
Fax: (231) 733-6151

The provider's authorized official is Leon Smith .
The authorized official title is Ceo and has the following contact phone number (231) 739-4359.

The enumeration date for this NPI number is 12/20/2011 and was last updated on 12/20/2011.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthL2010754MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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