Organization Name: | S P G B SERVICES |
NPI Number: | 1053453373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT E BONDS (PRESIDENTCEO) |
Mailing Address: | 101 N Albion St Human Services Building Albion |
State: | MI US |
Postal Code: | 492241500 |
Phone Number: | 5176299210 |
Fax Number: | 5176299880 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 08/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 130088 |
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: |