Organization Name: | PUBLIC PROTECTION LLC |
NPI Number: | 1316076631 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL ANTHONY JOHNSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 84 S Seaway Dr Norton Shores |
State: | MI US |
Postal Code: | 494443841 |
Phone Number: | 2317339800 |
Fax Number: | 2317331949 |
NPI Enumeration Date: | 03/04/2007 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 104040 |
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: |