OrganizationActive
West Michigan Addiction Consultants, PC
NPI 1003053133 · Substance Abuse Rehabilitation Facility · Grand Rapids, MI
Provider details
- NPI number
- 1003053133
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Thomas Haynes, President(616) 365-8800
- License
- 410128 (MI)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3001 Fuller Ave Ne
Suite 1
Grand Rapids, MI 49505-3204
Phone: (616) 365-8800
Fax: (616) 365-7979
Approximate (ZIP-level) locationGet directions
Mailing address
3001 Fuller Ave Ne
Grand Rapids, MI 49505-3204
Registry dates
- Enumerated
- 2009-01-12
- Last updated
- 2009-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.