Organization
STRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INEZ WILLIAMS (CEO)
(989) 493-3077
Entity
Organization
Contact information
Practice address
521 S 15TH ST, SAGINAW, MI 48601-2008
(989) 493-3077
Mailing address
PO BOX 14672, SAGINAW, MI 48601-0672
(989) 493-3077
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
730213
MI
172V00000X
Community Health Worker
730213
MI
174400000X
Specialist
Primary
730213
MI
Other
Enumeration date
05/19/2009
Last updated
09/11/2012
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