Superior Sober House
Organization Active NPI Community Health Worker · Marquette, MI
NPI 1780449306 · NPPES record last updated Feb 14, 2024
Key facts
- NPI
- 1780449306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Worker 172V00000X
- Legal business name
- SUPERIOR SOBER HOUSE
- Practice address
- 620 S Lake St
Marquette, MI 49855-5150 - Phone
- (248) 563-9988
- NPI assigned
- Feb 14, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- SUPERIOR SOBER HOUSE
Authorized official
- Name
- Ryan Todd Redmond, CHW,CPRC
- Title
- Executive Director
- Phone
- (248) 563-9988
National Provider Directory
- Part of
- Superior Sober House
Locations
620 S Lake St
Marquette, MI 49855
Phone (248) 563-9988
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker |
172V00000X | Yes |
Addresses
Primary practice location
620 S Lake St
Marquette, MI 49855-5150
Mailing address
PO Box 822
Marquette, MI 49855-0822
Phone (248) 536-9988
Other names
- Superior Connections RCO
Other providers in Marquette, MI
- Superior Hearing Aid Center, Inc.
- Superior Imaging Specialists, PC
- Superior Paradigm Solutions
- Superior Pharmacy Services, LLC
- Superior Rehabilitation & Professional Services, LLC
- Superior Vitality LLC
- Superior Walk-in Center, PC
- Superior Walk-in Center, PC
- Superior Walk-in Center, PC
- Superior Walk-in Center, PC
All providers in Marquette, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.