Organization
WMT INC. RECOVERY & HOUSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS CHURCHWELL (CEO)
(231) 728-2138
Entity
Organization
Contact information
Practice address
1823 COMMERCE ST, MUSKEGON, MI 49441-2608
(231) 728-2138
(231) 728-4771
Mailing address
1823 COMMERCE ST, MUSKEGON, MI 49441-2608
(231) 728-2138
(231) 722-4771
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
SA0610022
MI
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA0610022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2312200013009
—
MI
Enumeration date
12/19/2013
Last updated
12/19/2013
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