Organization
RECOVERY TECHNOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY F GALLAGHER CSW LLPC (CEO)
(517) 780-3336
Entity
Organization
Contact information
Practice address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202
(517) 780-3336
(517) 796-4584
Mailing address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202
(517) 780-3336
(517) 796-4584
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71898200
MAGELLAN
MI
Enumeration date
07/02/2006
Last updated
08/22/2020
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