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Organization

BREAK-THROUGH RECOVERY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL E JOHNSON MSW, LMSW (CEO)
(313) 570-9555
Entity
Organization

Contact information

Practice address
30578 SOUTHFIELD RD APT 252, SOUTHFIELD, MI 48076-1225
(313) 570-9555
Mailing address
30578 SOUTHFIELD RD APT 252, SOUTHFIELD, MI 48076-1225
(313) 570-9555

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/10/2015
Last updated
11/10/2015
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