Organization
MCCULLOUGH VARGAS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MCCULLOUGH CADC (EXEUTIVE DIRECTOR)
(517) 264-2244
Entity
Organization
Contact information
Practice address
110 READING AVE, JONESVILLE, MI 49250-1136
(517) 849-2330
Mailing address
110 READING AVE, JONESVILLE, MI 49250-1136
(517) 849-2330
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA0300027
MI
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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