Organization
WEST MICHIGAN THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL EUGENE DAME ASSOCIATES CADC-M (CERTIFIED ALCOHOL & DRUG COUNSELO)
(231) 728-2138
Entity
Organization
Contact information
Practice address
1823 COMMERCE ST, 2333 JARMAN ST, MUSKEGON, MI 49441
(231) 728-2138
(231) 722-4771
Mailing address
1823 COMMERCE ST, SAME, MUSKEGON, MI 49441
(231) 728-2138
(231) 722-4771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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