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Organization
RIVERS EDGE RECOVERY CENTER OF MICHIGAN LLC
Active
Organization
RIVERS EDGE RECOVERY CENTER OF MICHIGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
916 WASHINGTON AVE STE 205, BAY CITY, MI 48708-5721
(989) 415-3143
(989) 391-4412
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801068319
MI
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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