OrganizationActive
Eastside Outpatient Services, PLLC
NPI 1730454885 · Substance Use Disorder Rehabilitation Clinic/Center · Muskegon, MI
Provider details
- NPI number
- 1730454885
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Darien Smith, Executive Director
- License
- 610030 (MI)
Practice location
445 E Sherman Blvd
Muskegon, MI 49444-2203
Phone: (231) 739-4359
Fax: (231) 733-6151
Mailing address
445 E Sherman Blvd
Muskegon, MI 49444-2203
Registry dates
- Enumerated
- 2012-03-21
- Last updated
- 2012-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.