OrganizationActive
Endeavor Behavioral Health, LLC
NPI 1306334115 · Early Intervention Provider Agency · Grand Rapids, MI
Provider details
- NPI number
- 1306334115
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Beth Boogholt, Chief Executive Officer(248) 798-0474
Specialties & taxonomies
Agencies
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
Practice location
225 Michigan St. Nw #3520
Grand Rapids, MI 49501-3520
Phone: (248) 798-0474
Approximate (ZIP-level) locationGet directions
Mailing address
225 Michigan St. Nw #3520
Grand Rapids, MI 49501-3520
Registry dates
- Enumerated
- 2018-04-26
- Last updated
- 2018-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.