MR. EDWARD A BOOKER NPI 1588918841

NPI Information

MR. Edward A Booker is a substance abuse rehabilitation facility in Grand Rapids, MI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MR. Edward A Booker NPI is 1588918841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1740 WILLARD AVE SE
GRAND RAPIDS, MI
ZIP 49507-662
Phone: (616) 886-6917

The enumeration date for this NPI number is 11/7/2012 and was last updated on 11/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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