NPI | 1346600905 |
---|---|
Doing Business As | MUSKEGON RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | TASHA BLACKMON CEO 616-965-8215 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
163W00000X Registered Nurse | |
207LA0401X Anesthesiology, Addiction Medicine | |
207Q00000X Family Medicine | |
Enumeration Date | 2016-02-25 |
Last Update Date | 2023-08-25 |