Whalio Doctors

NPI 1104986603

Project Rehab

Organisation Substance Abuse Rehabilitation Facility Grand Rapids, MI

Practice location

Address
200 Eastern Ave SE, Grand Rapids, MI 49503-4735
Phone
(616) 776-0891
Fax
(616) 776-9906
Mailing address
330 Eastern Ave SE, Grand Rapids, MI 49503-4737

Authorised official

Name
Tommy House
Title
Executive Direction of Project Reha
Phone
(616) 776-0891

Registered specialties (3)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 410188 (MI)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 410014 (MI)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 410163 (MI)

Registry record

NPI
1104986603
Entity type
Organization
NPI issued
12 Dec 2006
Record last updated
22 Aug 2020

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.