Search › Michigan › Substance Abuse Rehabilitation Facility
Edward Booker
NPI 1588918841 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1740 Willard Ave Se
Grand Rapids, MI 49507 - Phone
- (616) 886-6917
Registry record
- Primary taxonomy
- Substance Abuse Rehabilitation Facility
324500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan