Organization
JUMPSTART 2 RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN THOMPSON (CREDENTIALING)
(919) 615-2371
Entity
Organization
Contact information
Practice address
1345 MONROE AVE NW STE 322, GRAND RAPIDS, MI 49505-4674
(616) 308-3800
Mailing address
1345 MONROE AVE NW STE 322, GRAND RAPIDS, MI 49505-4674
(616) 308-3800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801097891
MI
Other
Enumeration date
08/03/2018
Last updated
01/19/2025
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