Organization
MCCULLOUGH, VARGAS, & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD MCCULLOUGH MA, CAADC (EXECUTIVE DIRECTOR)
(517) 264-2244
Entity
Organization
Contact information
Practice address
770 RIVERSIDE AVE, STE 11, ADRIAN, MI 49221-1476
(517) 264-2244
(517) 263-3325
Mailing address
770 RIVERSIDE AVE, STE 11, ADRIAN, MI 49221-1476
(517) 264-2244
(517) 263-3325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
460036
MI
Other
Enumeration date
07/08/2006
Last updated
10/17/2017
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