Organization
WOLVERINE HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DONALD MILLER JR. BA (TREATMENT LEADER)
(989) 239-2148
Entity
Organization
Contact information
Practice address
1120 COMMERCE DR, VASSAR, MI 48768-9588
(989) 823-7640
Mailing address
1120 COMMERCE DR, VASSAR, MI 48768-9588
(989) 823-7640
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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