Organization
RECOVERY TECHNOLOGY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY F GALLAGHER LMSW (CEO)
(517) 780-3336
Entity
Organization
Contact information
Practice address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202-2179
(517) 780-3336
(517) 796-4561
Mailing address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202-2179
(517) 780-3336
(517) 796-4561
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
05
—
4970942
—
MI
Enumeration date
02/13/2008
Last updated
04/30/2008
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