| |
725 E State St Sterling MI 48659-9548 | |
(989) 654-3501 | |
(989) 654-2190 |
Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 725 E State St, Sterling, Michigan |
Authorized Official Name and Position | Roger J. Rushlow (CEO) |
Authorized Official Contact | 9896452491 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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725 E State St Po Box 740 Sterling MI 48659-9548 Ph: (989) 654-3501 | 725 E State St Sterling MI 48659-9548 Ph: (989) 654-3501 |
NPI Number | 1992879308 |
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Provider Enumeration Date | 11/17/2006 |
Last Update Date | 08/26/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992879308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 060004 (Michigan) | Primary |