# WMT INC. RECOVERY & HOUSING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245651405
- **Authorized official:** MR. LOUIS CHURCHWELL (CEO)
- **Authorized official phone:** (231) 728-2138

## Contact information

- **Practice address:** 1823 COMMERCE ST, MUSKEGON, MI 49441-2608
- **Practice address phone:** (231) 728-2138
- **Practice address fax:** (231) 722-4771
- **Mailing address:** 2333 JARMAN ST, MUSKEGON, MI 49444-1655
- **Mailing address phone:** (231) 739-6840
- **Mailing address fax:** (231) 722-4771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | SA0610022 | MI | — |
| 103TC0700X | Clinical Psychologist | SA0610022 | MI | — |
| 103TC1900X | Counseling Psychologist | SA0610022 | MI | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | SA0610022 | MI | — |
| 251B00000X | Case Management Agency | SA0610022 | MI | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | SA0610022 | MI | — |

## Other

- **Enumeration date:** 12/13/2013
- **Last updated:** 12/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | SA2312200013009 | — | MI |