NPI 1003053133

West Michigan Addiction Consultants, PC

Organisation Substance Abuse Rehabilitation Facility Grand Rapids, MI

Practice location

Address: 3001 Fuller Ave NE Suite 1, Grand Rapids, MI 49505-3204
Phone: (616) 365-8800
Fax: (616) 365-7979

Authorised official

Name: Thomas Lamott Haynes
Title: President
Phone: (616) 365-8800

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 410128 (MI)

Other Substance Abuse Rehabilitation Facility providers in Michigan →

Registry record

NPI: 1003053133
Entity type: Organization
NPI issued: 12 Jan 2009
Record last updated: 12 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.