Organization
RECOVERY ROAD CHARITABLE NON PROFIT ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRESTON R SMITH (TREASURER)
(269) 792-4173
Entity
Organization
Contact information
Practice address
961 ALPINE AVE NW, GRAND RAPIDS, MI 49504-4451
(616) 915-0594
Mailing address
2666 SEYMOUR DR, SHELBYVILLE, MI 49344-9523
(269) 792-4173
(269) 792-4173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
11/09/2012
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