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Organization

616 SUD SERVICES, LLC

Active
Other names
616 SUD Services, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARIO I. LEDESMA MS, CCJP. CADC, SAP (CLINICAN/OWNER)
(616) 878-3223
Entity
Organization

Contact information

Practice address
852 47TH ST SW STE 8, WYOMING, MI 49509-5104
(616) 878-3223
(616) 878-3211
Mailing address
852 47TH ST SW STE 8, WYOMING, MI 49509-5104
(616) 878-3223
(616) 878-3211

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
01/03/2023
Last updated
03/31/2025
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