| Public Protection Transitional Substance Abuse Services | |
|
84 S Seaway Dr Norton Shores MI 49444-3841 | |
| (231) 733-9800 | |
| (231) 733-1949 |
| Full Name | Public Protection Transitional Substance Abuse Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 84 S Seaway Dr, Norton Shores, Michigan |
| Authorized Official Name and Position | Michael Anthony Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2317339800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Public Protection Transitional Substance Abuse Services 84 S Seaway Dr Norton Shores MI 49444-3841 Ph: (231) 733-9800 | Public Protection Transitional Substance Abuse Services 84 S Seaway Dr Norton Shores MI 49444-3841 Ph: (231) 733-9800 |
| NPI Number | 1316076631 |
|---|---|
| Provider Enumeration Date | 03/04/2007 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316076631 | NPI | - | NPPES |
| 1316076631 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 104040 (Michigan) | Primary |
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