Project Rehab in Grand Rapids - Substance Abuse Rehabilitation Facility
Project Rehab - NPI 1104986603
Project Rehab is a Substance Abuse Rehabilitation Facility in Grand Rapids, Michigan. Project Rehab practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Project Rehab is 1104986603. The last update date is 2020-08-22.
Project Rehab's current location address is 330 Eastern Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6167760891 and fax number 6167769906. The mailing address for Project Rehab is 330 Eastern Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Project Rehab |
|---|---|
| Address | 330 Eastern Ave Se, Grand Rapids, Michigan |
| Phone Number | 6167760891 |
| Fax Number | 6167769906 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | House Tommy |
| Credentials | MSW |
| Telephone Number | 6167760891 |
NPI Number Detail
| NPI Number | 1104986603 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 330 Eastern Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495034737 |
| Phone Number | 6167760891 |
| Fax Number | 6167769906 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 410014 |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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What is the Project Rehab's 1104986603?
The Project Rehab's NPI (National Provider Identifier) Number is 1104986603. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Project Rehab located?
The Project Rehab is located at 330 Eastern Ave Se, Grand Rapids, MI 495034737.
What is Project Rehab's specialized field of practice, and what is the corresponding taxonomy classification code?
The Project Rehab's area of specialization is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this field of practice is 324500000X.
On what date did the Project Rehab receive its 1104986603 assignment from the Centers for Medicare & Medicaid Services?
The Project Rehab was assigned its 1104986603 by the Centers for Medicare & Medicaid Services on 2006-12-12.
When was the information related to Project Rehab most recently updated or refreshed?
The details pertaining to the Project Rehab, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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