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Organization
SAMARITAS
Active
Organization
SAMARITAS
Active
Other names
Lutheran Social Services
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL A PERRY MA, SST (VP OF QUALITY)
(313) 410-7438
Entity
Organization
Contact information
Practice address
923 S BEECHTREE ST STE 10, GRAND HAVEN, MI 49417-2306
(616) 516-9985
Mailing address
923 S BEECHTREE ST STE 10, GRAND HAVEN, MI 49417-2306
(616) 516-9985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
405300000X
Prevention Professional
—
NULL
405300000X
Prevention Professional
—
—
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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