Mid South Substance Abuse Commission

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MID SOUTH SUBSTANCE ABUSE COMMISSION

Practice address

2875 Northwind Dr
Suite 215
East Lansing, MI 48823-5092

Phone

(517) 337-4406

Fax

(517) 337-8512

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Geraldine M. Roeser

Title

Finance Manager

Phone

(517) 337-4406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1992838619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 NORTHWIND DR",
            "address_2": "SUITE 215",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235092",
            "telephone_number": "517-337-4406",
            "fax_number": "517-337-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 NORTHWIND DR",
            "address_2": "SUITE 215",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235092",
            "telephone_number": "517-337-4406",
            "fax_number": "517-337-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH SUBSTANCE ABUSE COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ROESER",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "517-337-4406",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.