Organization
MID SOUTH SUBSTANCE ABUSE COMMISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE M. ROESER (FINANCE MANAGER)
(517) 337-4406
Entity
Organization
Contact information
Practice address
2875 NORTHWIND DR, SUITE 215, EAST LANSING, MI 48823-5092
(517) 337-4406
(517) 337-8512
Mailing address
2875 NORTHWIND DR, SUITE 215, EAST LANSING, MI 48823-5092
(517) 337-4406
(517) 337-8512
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
06/26/2008
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