| Golden Recovery, Plc | |
|
5397 Howard Rd Petoskey MI 49770-8815 | |
| (231) 225-9030 | |
| (231) 225-9026 |
| Full Name | Golden Recovery, Plc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5397 Howard Rd, Petoskey, Michigan |
| Authorized Official Name and Position | Paul Michael Sullivan (OWNER/THERAPIST) |
| Authorized Official Contact | 2312259030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Recovery, Plc 5397 Howard Rd Petoskey MI 49770-8815 Ph: (231) 225-9030 | Golden Recovery, Plc 5397 Howard Rd Petoskey MI 49770-8815 Ph: (231) 225-9030 |
| NPI Number | 1275087751 |
|---|---|
| Provider Enumeration Date | 08/12/2016 |
| Last Update Date | 08/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275087751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401009216 (Michigan) | Primary |
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