Healthcare Provider Details
I. General information
NPI: 1851226062
Provider Name (Legal Business Name): OTTAWA COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12265 JAMES ST
HOLLAND MI
49424-8613
US
IV. Provider business mailing address
12265 JAMES ST
HOLLAND MI
49424-8613
US
V. Phone/Fax
- Phone: 616-392-1873
- Fax: 616-393-5687
- Phone: 616-392-1873
- Fax: 616-393-5687
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
FRANZBLAU
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 616-392-1873