Organization
SOUTH CENTRAL MICHIGAN SUBSTANCE ABUSE COMMISSION MINORITY PROGRAM SER
Active
Other names
Substance Abuse Prevention Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY J. BONNER SR. MCBAP CERTIFIED (EXECUTIVE DIRECTOR)
(517) 629-2113
Entity
Organization
Contact information
Practice address
600 E MICHIGAN AVE, ALBION, MI 49224-1849
(517) 629-2113
(517) 905-5963
Mailing address
600 E MICHIGAN AVE, ALBION, MI 49224-1849
(517) 629-2113
(517) 905-5963
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020SAPS
SUBSTANCE ABUSE PREVENTION MCBAP CERTIFIED
MI
Enumeration date
04/19/2013
Last updated
07/21/2022
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