Organization
DOUGLASS COMMUNITY ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY R TERRENTINE (EXECUTIVE DIRECTOR)
(269) 343-6185
Entity
Organization
Contact information
Practice address
1000 W PATERSON ST, KALAMAZOO, MI 49007-1710
(269) 343-6185
(269) 492-1749
Mailing address
1000 W PATERSON ST, KALAMAZOO, MI 49007-1710
(269) 343-6185
(269) 492-1749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
390183
MI
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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