# ADDICTION TREATMENT SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoenix Hall, Dakoske Hall, Outpatient, The Pier
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629431713
- **Authorized official:** PAULA LIPINSKI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (231) 346-5223

## Contact information

- **Practice address:** 1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686
- **Practice address phone:** (231) 346-5216
- **Practice address fax:** (231) 943-2590
- **Mailing address:** 1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686-3434
- **Mailing address phone:** (231) 346-5223
- **Mailing address fax:** (231) 943-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 172A00000X | Driver | — | NULL | — |
| 172A00000X | Driver | — | — | — |
| 324500000X | Substance Abuse Rehabilitation Facility | SA0280084 | MI | — |
| 363A00000X | Physician Assistant | 5601005691 | MI | Yes |

## Other

- **Enumeration date:** 04/05/2016
- **Last updated:** 01/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | QMP000005341778 | — | MI |
| 05 | — | QMP000005341779 | — | MI |
| 01 | — | SA0280010 | SA LICENSE - DAKOSKE | MI |
| 01 | — | SA0280084 | SA LICENSE - THE PIER | MI |
| 01 | — | SA0280085 | SA LICENSE - OUTPATIENT | MI |
| 01 | — | SA0280088 | SA LICENSE - PHOENIX | MI |