Organization
MICHAEL'S HOUSE OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS LEVINSKY WADE LCDC (DIRECTOR OF OUTREACH)
(903) 871-8700
Entity
Organization
Contact information
Practice address
18535 HWY 69 S, TYLER, TX 75703-8004
(903) 871-8700
(903) 871-8880
Mailing address
18535 HWY 69 S, TYLER, TX 75703-8004
(903) 871-8700
(903) 871-8880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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