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Active
Other names
Recovery Academy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARION MICHAEL ROALEEN LBSW (DIRECTOR)
(616) 233-0884
Entity
Organization

Contact information

Practice address
282 LEONARD, GRAND RAPIDS, MI 49504
(606) 233-0884
(616) 233-0832
Mailing address
282 LEONARD, GRAND RAPIDS, MI 49504
(606) 233-0884
(616) 233-0832

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6802058566
MI

Other

Enumeration date
09/11/2012
Last updated
09/11/2012
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