MR. RONALD DEBOSE NPI 1609129782

NPI Information

MR. Ronald Debose 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. Ronald Debose NPI is 1609129782. 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:

1139 THOMAS ST SE
GRAND RAPIDS, MI
ZIP 49506-665
Phone: (616) 459-6817
Fax: (616) 459-1930

The enumeration date for this NPI number is 10/26/2012 and was last updated on 10/26/2012.

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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