State of Michigan DEPARTMENT OF HUMAN SERVICES May 17 ...

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Please review the enclosed documentation for accuracy and contact me with any questions. In the event that I am not available and you need to speak to someone immediately, please contact the local office at (616) 356-0100. Sincerely, Grant Sutton, Licensing Consultant Bureau of Children and Adult Licensing Unit 13, 7th Floor 350 Ottawa, NW Grand Rapids, MI 49503 (616) 916-4437 enclosure
MICHIGAN DEPARTMENT OF HUMAN SERVICES BUREAU OF CHILDREN AND ADULT LICENSING SPECIAL INVESTIGATION REPORT I. IDENTIFYING INFORMATION License #: Investigation #: AS410067880 2013A0355040 Complaint Receipt Date: 05/02/2013 Investigation Initiation Date: 05/02/2013 Report Due Date: 07/01/2013 Licensee Name: Hope Network Behavioral Health Services Licensee Address: PO Box 890 3075 Orchard Vista Drive Grand Rapids, MI 49518-0890 Licensee Telephone #: (616) 726-1998 Administrator: Licensee Designee: Name of Facility: Facility Address: Angie Putnum Chad Underlay Breton Valley 2451 Breton Road, SE Grand Rapids, MI 49546-5627 Facility Telephone #: (616) 949-3813 Original Issuance Date: 09/28/1995 License Status: REGULAR Effective Date: 03/28/2012 Expiration Date: 03/27/2014 Capacity: 6 Program Type: MENTALLY ILL 1
Page 1: RICK SNYDER GOVERNOR State of Michi
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State of Michigan DEPARTMENT OF HUMAN SERVICES May 17 ...

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