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DOUGLASS COMMUNITY ASSOCIATION NPI 1093933210


NPI Information

NPI: 1093933210
Provider Name: DOUGLASS COMMUNITY ASSOCIATION
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1000 W PATERSON ST
KALAMAZOO, MI
ZIP 49007
Phone: (269) 343-6185
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DOUGLASS COMMUNITY ASSOCIATION is an addiction (substance use disorder) counselor in Kalamazoo, MI. DOUGLASS COMMUNITY ASSOCIATION NPI is 1093933210. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 W PATERSON ST
KALAMAZOO, MI
ZIP 49007-710
Phone: (269) 343-6185
Fax: (269) 492-1749

The provider's authorized official is Timothy R Terrentine .
The authorized official title is Executive Director and has the following contact phone number (269) 343-6185.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)390183MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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