Eastside Substance Abuse Clinic
Organization Active NPI Community/Behavioral Health Agency · Muskegon Heights, MI
NPI 1609145648 · NPPES record last updated Dec 20, 2011
Key facts
- NPI
- 1609145648
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- L2010754 (MI)
- Legal business name
- EASTSIDE SUBSTANCE ABUSE CLINIC
- Practice address
- 445 E Sherman Blvd
Muskegon Heights, MI 49444-2203 - Phone
- (231) 739-4359
- Fax
- (231) 733-6151
- NPI assigned
- Dec 20, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Leon Smith, D.O.
- Title
- Ceo
- Phone
- (231) 739-4359
Corporate family (same tax ID) 2
Practitioners 1
-
Leon Smith, D.O.
National Provider Directory
- Tax ID family
- Eastern Clinic PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | L2010754 | MI | Yes |
Addresses
Primary practice location
445 E Sherman Blvd
Muskegon Heights, MI 49444-2203
Mailing address
445 E Sherman Blvd
Muskegon Heights, MI 49444-2203
Phone (231) 739-4359
Other names
- Eastside Outpatient Services
Other providers in Muskegon Heights, MI
- Ebony Davis
- Robert Douglas Diamond
- Jolene Douglas
- Melissa Dove
- Eastside Substance Abuse Clinic
- Brenden Edoff
- Adam J Edwards
- Ivan Egan
- Elderly View
- Elderly View
All providers in Muskegon Heights, MI · Community/Behavioral Health Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.