Organization
SUPERIOR SOBER HOUSE
Active
Parent organization
SUPERIOR SOBER HOUSE
Other names
Superior Connections RCO
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPERIOR SOBER HOUSE
Authorized official
RYAN TODD REDMOND CHW,CPRC (EXECUTIVE DIRECTOR)
(248) 563-9988
Entity
Organization
Contact information
Practice address
620 S LAKE ST, MARQUETTE, MI 49855-5150
(248) 563-9988
Mailing address
PO BOX 822, MARQUETTE, MI 49855-0822
(248) 536-9988
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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