NPI 1104202209

Homeward Bound Therapeutic Services

Organisation Community/Behavioral Health Agency Grand Rapids, MI

Practice location

Address: 436 44th St SE Suite C, Grand Rapids, MI 49548-4371
Phone: (616) 560-0019
Fax: (616) 233-0630
Mailing address: 1521 Providence Cove CT, Byron Center, MI 49315-9149

Authorised official

Name: Ronald L Grooters
Title: Ceo/President
Phone: (616) 560-0019

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 6801061511 (MI)

Other Community/Behavioral Health providers in Michigan →

Registry record

NPI: 1104202209
Entity type: Organization
NPI issued: 31 Jul 2015
Record last updated: 31 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.