Organization
WAYGFT
Active
Other names
WAYGFT
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CECIL PATRICK RECOVERY COACH (OWNER)
(989) 430-5795
Entity
Organization
Contact information
Practice address
2576 E BROOKS RD, FREELAND, MI 48623-9431
(989) 430-5795
Mailing address
331 W FIKE RD, SANFORD, MI 48657-9113
(989) 430-5795
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
07/02/2024
Last updated
07/10/2024
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