Organization
SISTERS OF SOBRIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA IRENE KAZEMIER CPRC (EXECUTIVE DIRECTOR)
(231) 250-9193
Entity
Organization
Contact information
Practice address
5398 PIERCE RD, REMUS, MI 49430
(231) 250-9193
Mailing address
1750 175TH AVE, MORLEY, MI 49336-9092
(231) 250-9193
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
M730256
MI
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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