| Organization Name: | COMPREHENSIVE PSYIATRIC SERVICES OF WESTERN MI PC |
| NPI Number: | 1013095454 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD J DIRKSE (PRESIDENT CHILD PSYCHIATRIST) |
| Mailing Address: | 12978 James Street Ste 10 Holland |
| State: | MI US |
| Postal Code: | 49424 |
| Phone Number: | 6163997005 |
| Fax Number: | 6163997150 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0804X |
| License Number: | 032227 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Child & Adolescent Psychiatry |
| Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |