Organization · Type 2 NPI

Project Rehab

Substance Abuse Rehabilitation Facility · Grand Rapids, MI

NPI number 1104986603 Active

Practice location

200 Eastern Ave SE
Grand Rapids, MI 49503-4735

Fax (616) 776-9906

Mailing address

330 Eastern Ave SE
Grand Rapids, MI 49503-4737

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility 324500000X410014 (MI)
Substance Abuse Rehabilitation Facility 324500000X410163 (MI)
Substance Abuse Rehabilitation Facility Primary 324500000X410188 (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.

7 other providers at this address

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About NPI 1104986603

Project Rehab's National Provider Identifier is 1104986603, issued on Dec 12, 2006. 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 Aug 22, 2020.