Wolverine Human Services
Organization Active NPI Children's Substance Abuse Rehabilitation Facility · Vassar, MI
NPI 1891978441 · NPPES record last updated Dec 6, 2007
Key facts
- NPI
- 1891978441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Children's Substance Abuse Rehabilitation Facility 3245S0500X
- Legal business name
- WOLVERINE HUMAN SERVICES
- Practice address
- 150 Enterprise Dr
Vassar, MI 48768-9584 - Phone
- (989) 823-3040
- NPI assigned
- Dec 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Peter Gumbleton
- Title
- Vice President & Cfo
- Phone
- (313) 886-4259
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Wolverine Human Services
Locations
17000 E Warren Ave
Detroit, MI 48224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | MI | Yes |
Addresses
Primary practice location
150 Enterprise Dr
Vassar, MI 48768-9584
Mailing address
17000 E Warren Ave
Detroit, MI 48224-2358
Phone (313) 886-4259
Other providers in Vassar, MI
- Walgreen Co
- Jessica Williams
- Wolverine Human Services
- Wolverine Human Services
- Wolverine Human Services
- Wolverine Human Services
- Rana Yatooma
- Bridget Young
- Gina Mae Zerka
All providers in Vassar, MI · Children's Substance Abuse Rehabilitation Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2007. 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.