| Doctor Name: | BYRON OTONIEL SALGUERO |
| NPI Number: | 1003035445 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | 00000000 |
| Business Practice Address: | 4230 Chaminade St Sw Grandville, MI - 494182590 |
| Business Phone Number: | 6165109027 |
| Business Fax Number: | |
| Mailing Address: | 4230 Chaminade St Sw, GRANDVILLE |
| State: | MI |
| Postal Code: | 494182590 |
| Phone Number: | 6165109027 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 02/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 00000000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |