Healthcare Provider Details

I. General information

NPI: 1205985462
Provider Name (Legal Business Name): HOPE NETWORK BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 LEONARD ST NE
GRAND RAPIDS MI
49503-1129
US

IV. Provider business mailing address

385 LEONARD ST NE
GRAND RAPIDS MI
49503-1129
US

V. Phone/Fax

Practice location:
  • Phone: 616-454-4777
  • Fax: 616-454-2554
Mailing address:
  • Phone: 616-454-4777
  • Fax: 616-454-2554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALESSIA JASINSKI-BRADFORD
Title or Position: CASE MANAGER
Credential:
Phone: 616-454-4777