Organization
MIDWEST RECOVERY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN HARVELL LPC (CLINICAL DIRECTOR)
(269) 635-2396
Entity
Organization
Contact information
Practice address
2527 S 11TH ST STE 2, NILES, MI 49120-4747
(269) 262-1815
Mailing address
2527 S 11TH ST STE 2, NILES, MI 49120-4747
(269) 635-2396
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
SA0140016
MI
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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