Healthcare Provider Details

I. General information

NPI: 1801176995
Provider Name (Legal Business Name): COUNTY OF MUSKEGON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2011
Last Update Date: 08/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 E APPLE AVE
MUSKEGON MI
49442-3466
US

IV. Provider business mailing address

376 E APPLE AVE
MUSKEGON MI
49442-3466
US

V. Phone/Fax

Practice location:
  • Phone: 231-724-3699
  • Fax: 231-724-1300
Mailing address:
  • Phone: 231-724-3699
  • Fax: 231-724-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID R PARNIN
Title or Position: EXECUTIVE DIRECTOR INTERIM
Credential: LMSW
Phone: 231-724-3699