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RECOVERY ROAD CHARITABLE NON PROFIT ORGANIZATION NPI 1578828083


NPI Information

NPI: 1578828083
Provider Name: RECOVERY ROAD CHARITABLE NON PROFIT ORGANIZATION
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
961 ALPINE AVE NW
GRAND RAPIDS, MI
ZIP 49504
Phone: (616) 915-0594
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RECOVERY ROAD CHARITABLE NON PROFIT ORGANIZATION is an addiction (substance use disorder) counselor in Grand Rapids, MI. RECOVERY ROAD CHARITABLE NON PROFIT ORGANIZATION NPI is 1578828083. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

961 ALPINE AVE NW
GRAND RAPIDS, MI
ZIP 49504-451
Phone: (616) 915-0594

The provider's authorized official is Preston R Smith .
The authorized official title is Treasurer and has the following contact phone number (269) 792-4173.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 11/9/2012.


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:

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

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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