Organization · Type 2 NPI
West Michigan Addiction Consultants, PC
Substance Abuse Rehabilitation Facility · Grand Rapids, MI
NPI number
1003053133
Active
Practice location
3001 Fuller Ave NE, Suite 1
Grand Rapids, MI 49505-3204
Fax (616) 365-7979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 410128 (MI) |
Substance Abuse Rehabilitation Facility: 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.
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About NPI 1003053133
West Michigan Addiction Consultants, PC's National Provider Identifier is 1003053133, issued on Jan 12, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 12, 2009.