Individual provider · Type 1 NPI
Ronald Debose
Substance Abuse Rehabilitation Facility · Grand Rapids, MI
Practice location
1139 Thomas St SE
Grand Rapids, MI 49506-2665
Fax (616) 459-1930
Mailing address
1427 Ball Ave NE
Grand Rapids, MI 49505-5613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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.
Other substance abuse rehabilitation facility providers in Grand Rapids
About NPI 1609129782
Ronald Debose's National Provider Identifier is 1609129782, issued on Oct 26, 2012. 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 Oct 26, 2012.