Douglass Community Association | |
1000 W Paterson St Kalamazoo MI 49007-1710 | |
(269) 343-6185 | |
(269) 492-1749 |
Full Name | Douglass Community Association |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1000 W Paterson St, Kalamazoo, Michigan |
Authorized Official Name and Position | Timothy R Terrentine (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2693436185 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Douglass Community Association 1000 W Paterson St Kalamazoo MI 49007-1710 Ph: (269) 343-6185 | Douglass Community Association 1000 W Paterson St Kalamazoo MI 49007-1710 Ph: (269) 343-6185 |
NPI Number | 1093933210 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093933210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 390183 (Michigan) | Primary |
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