Organization
RECOVERY ROAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRESTON R SMITH (OWNER)
(616) 916-3836
Entity
Organization
Contact information
Practice address
1757 STILESGATE ST SE, GRAND RAPIDS, MI 49508-5517
(616) 916-3836
Mailing address
1757 STILESGATE ST SE, GRAND RAPIDS, MI 49508-5517
(616) 916-3836
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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