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S P G B SERVICES NPI 1144308347


NPI Information

NPI: 1144308347
Provider Name: S P G B SERVICES

Other Name: SPGB SERVICES

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
118 E PATERSON ST
SAFEHOUSE
KALAMAZOO, MI
ZIP 49007
Phone: (269) 342-7348
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S P G B SERVICES is an addiction (substance use disorder) counselor in Kalamazoo, MI. S P G B SERVICES NPI is 1144308347. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Spgb Services.

The provider's business location address is:

118 E PATERSON ST
SAFEHOUSE
KALAMAZOO, MI
ZIP 49007-531
Phone: (269) 342-7348
Fax: (269) 342-4699

The provider's authorized official is Robert E. Bonds .
The authorized official title is President/ceo and has the following contact phone number (269) 342-7348.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 8/13/2008.


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)390139MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ON 18121MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
21705289MEDICAIDMICHIGAN

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: 4/28/2024

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