Organization Name: | RECOVERY INSTITUTE OF SOUTHWEST MICHIGAN, INC. |
NPI Number: | 1841578721 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER LYNN MILLS (DATA ANALYST) |
Mailing Address: | 326 W Kalamazoo Ave Ste 311 Kalamazoo |
State: | MI US |
Postal Code: | 490073361 |
Phone Number: | 2693436725 |
Fax Number: | 2693436727 |
NPI Enumeration Date: | 07/27/2011 |
NPI Last Update Date: | 07/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |