Organization
PROJECT REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY HOUSE MSW (EXECUTIVE DIRECTION OF PROJECT REHA)
(616) 776-0891
Entity
Organization
Contact information
Practice address
200 EASTERN AVE SE, GRAND RAPIDS, MI 49503-4735
(616) 776-0891
(616) 776-9906
Mailing address
330 EASTERN AVE SE, GRAND RAPIDS, MI 49503-4737
(616) 776-0891
(616) 776-9906
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
410014
MI
324500000X
Substance Abuse Rehabilitation Facility
410163
MI
324500000X
Substance Abuse Rehabilitation Facility
Primary
410188
MI
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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