West Michigan Addiction Consultants, Pc

NPI 1003053133 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1003053133
Enumeration Date 01/12/2009
Last Updated 01/12/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name THOMAS LAMOTT THOMAS
Position PRESIDENT
Phone (616) 365-8800
Fax (616) 365-7979
Practice Location
3001 FULLER AVE NE
SUITE 1
GRAND RAPIDS MI, 49505-3204, US
Phone (616) 365-8800
Fax (616) 365-7979
Business Location
3001 FULLER AVE NE
SUITE 1
GRAND RAPIDS MI, 49505-3204, US
Phone (616) 365-8800
Fax (616) 365-7979
Toxanomy
Taxonomy Code 324500000X
License State Michigan
License Number 410128
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According to our database, West Michigan Addiction Consultants, Pc NPI is 1003053133, taxonomy code is 324500000X and license number is 410128, license state is located at Michigan. West Michigan Addiction Consultants, Pc physically located at 3001 Fuller Ave Ne, Grand Rapids MI, 49505-3204. NPI Number 1033115704 has the healthcare provider type.

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1003053133 NPI number is provided on an as is basis without warranty of any kind. 1003053133 is maintained by the National Plan & Provider Enumeration System. The contents of West Michigan Addiction Consultants, Pc are for informational purposes only.