NPI | 1619047867 |
---|---|
Other Name | SPGB SERVICES |
Entity Type | Organization |
Authorized Contact | ROBERT E. BONDS, JR. President CEO 269-964-3830 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 130078) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2008-08-13 |