Public Protection Transitional Substance Abuse Services | |
84 S Seaway Dr Norton Shores MI 49444-3841 | |
(231) 733-9800 | |
(231) 733-1949 |
Full Name | Public Protection Transitional Substance Abuse Services |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 84 S Seaway Dr, Norton Shores, Michigan |
Authorized Official Name and Position | Michael Anthony Johnson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2317339800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Public Protection Transitional Substance Abuse Services 84 S Seaway Dr Norton Shores MI 49444-3841 Ph: (231) 733-9800 | Public Protection Transitional Substance Abuse Services 84 S Seaway Dr Norton Shores MI 49444-3841 Ph: (231) 733-9800 |
NPI Number | 1316076631 |
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Provider Enumeration Date | 03/04/2007 |
Last Update Date | 04/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316076631 | NPI | - | NPPES |
1316076631 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 104040 (Michigan) | Primary |
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