NPIMap

Organization Active NPI

Wolverine Human Services

  • Substance Abuse Rehabilitation Facility
  • Vassar, MI
National Provider Identifier
1700103397
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
790043 Issued in MI
Legal business name
WOLVERINE HUMAN SERVICES
Practice address
150 Enterprise Dr
Vassar, MI 48768-9584
Phone
(989) 823-3040
NPI assigned
Apr 22, 2010
Last updated
Apr 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alisha Rae McCabe, B.S.NPI 1356658579
Title
Substance Abuse Therapist
Phone
(810) 922-1808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 790043 MI Primary

Addresses

Primary practice location

150 Enterprise Dr
Vassar, MI 48768-9584

Mailing address

150 Enterprise Dr
Vassar, MI 48768-9584

National Provider Directory

National Provider Directory
Tax ID family
Wolverine Human Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 Enterprise Dr
Vassar, MI 48768
Phone (989) 823-0183

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1700103397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ENTERPRISE DR",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ENTERPRISE DR",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689584",
            "telephone_number": "989-823-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLVERINE HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE THERAPIST",
        "authorized_official_telephone_number": "810-922-1808",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "790043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vassar, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.