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PUBLIC PROTECTION LLC NPI 1316076631


NPI Information

NPI: 1316076631
Provider Name: PUBLIC PROTECTION LLC

Doing Business As: PUBLIC PROTECTION TRANSITIONAL SUBSTANCE ABUSE SERVICES

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
84 S SEAWAY DR
NORTON SHORES, MI
ZIP 49444
Phone: (231) 733-9800
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PUBLIC PROTECTION LLC is an addiction (substance use disorder) counselor in Norton Shores, MI. PUBLIC PROTECTION LLC NPI is 1316076631. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Public Protection Transitional Substance Abuse Services.

The provider's business location address is:

84 S SEAWAY DR
NORTON SHORES, MI
ZIP 49444-841
Phone: (231) 733-9800
Fax: (231) 733-1949

The provider's authorized official is Michael Anthony Johnson .
The authorized official title is Executive Director and has the following contact phone number (231) 733-9800.

The enumeration date for this NPI number is 3/4/2007 and was last updated on 4/24/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)104040MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11316076631MEDICAIDMICHIGAN

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: 5/5/2024

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