Organization
WOLVERINE HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA RAE MCCABE B.S. (SUBSTANCE ABUSE THERAPIST)
(810) 922-1808
Entity
Organization
Contact information
Practice address
150 ENTERPRISE DR, VASSAR, MI 48768-9584
(989) 823-3040
Mailing address
150 ENTERPRISE DR, VASSAR, MI 48768-9584
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
790043
MI
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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