Organization
VISION QUEST RECOVERY HOUSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN KROLL (OWNER)
(810) 300-8536
Entity
Organization
Contact information
Practice address
1218 LAPEER AVE # 1220, PORT HURON, MI 48060-4352
(810) 300-8536
Mailing address
1902 13TH ST, PORT HURON, MI 48060-6238
(810) 300-8536
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/04/2021
Last updated
01/21/2021
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