Organization
ADDICTION TREATMENT SERVICES, INC
Active
Other names
Outpatient, Dakoske Hall, Phoenix Hall, The Pier
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LIPINSKI (EXECUTIVE DIRECTOR)
(231) 346-5223
Entity
Organization
Contact information
Practice address
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686
(231) 346-5216
(231) 943-2590
Mailing address
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686-3465
(231) 346-5223
(231) 943-2590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
SA0280010
MI
324500000X
Substance Abuse Rehabilitation Facility
SA0280084
MI
324500000X
Substance Abuse Rehabilitation Facility
SA0280085
MI
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CV0023803
—
MI
05
—
GRP300540252
—
MI
05
—
QMP000005341778
—
MI
05
—
QMP000005341779
—
MI
01
—
SA0280010
SA LICENSE - DAKOSKE
MI
01
—
SA0280084
SA LICENSE - THE PIER
MI
01
—
SA0280085
SA LICENSE - OUTPATIENT
MI
01
—
SA0280088
SA LICENSE - PHOENIX
MI
Enumeration date
11/30/2005
Last updated
01/14/2025
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