Provider Demographics
NPI:1457774242
Name:THE ASIAN CENTER
Entity Type:Organization
Organization Name:THE ASIAN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:KUEINAN
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMSW, MA,
Authorized Official - Phone:616-301-3987
Mailing Address - Street 1:4040 FULTON ST E
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-1352
Mailing Address - Country:US
Mailing Address - Phone:616-301-3987
Mailing Address - Fax:616-301-6937
Practice Address - Street 1:4040 FULTON ST E
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-1352
Practice Address - Country:US
Practice Address - Phone:616-301-3987
Practice Address - Fax:616-301-6937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health