NPI 1306334115
Endeavor Behavioral Health, LLC
Practice location
- Address
- 225 Michigan St. NW #3520, Grand Rapids, MI 49501-3520
- Phone
- (248) 798-0474
Authorised official
- Name
- Beth a Boogholt
- Title
- Chief Executive Officer
- Phone
- (248) 798-0474
Registered specialties (2)
Early Intervention Provider Agency
Primary
Developmental Disabilities Clinic/Center
Registry record
- NPI
- 1306334115
- Entity type
- Organization
- NPI issued
- 26 Apr 2018
- Record last updated
- 26 Apr 2018
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.