Organization
KALAMAZOO PROBATION ENHANCEMENT PROGRAM
Active
Other names
KPEP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DEBOER (PRESIDENT/CEO)
(269) 903-0510
Entity
Organization
Contact information
Practice address
519 S PARK ST, KALAMAZOO, MI 49007-5117
(269) 383-0450
(269) 383-2066
Mailing address
519 S PARK ST, KALAMAZOO, MI 49007-5117
(269) 383-0450
(269) 383-2066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
390145
MI
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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