Organization Name: | PREVENTION WORKS |
NPI Number: | 1053587246 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIELLE RENEE SIELATYCKI (EXECUTIVE DIRECTOR) |
Mailing Address: | 611 Whitcomb St Suite A Kalamazoo |
State: | MI US |
Postal Code: | 490082487 |
Phone Number: | 2693884200 |
Fax Number: | 2693882070 |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 05/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 390134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |