person
Mr. Ronald Debose
Substance Abuse Rehabilitation Facility in Grand Rapids, Michigan
NPI 1609129782

Ronald Debose is a Substance Abuse Rehabilitation Facility based in Grand Rapids, MI. Ronald Debose practices in Grand Rapids, MI. The NPI Number for Ronald Debose is 1609129782 and holds a License No. (Michigan).

The current practice location address for Ronald Debose is 1139 Thomas St Se, Grand Rapids, MI and can be reached out via phone at 616-459-6817 and via fax at 616-459-1930.

Location: 1139 Thomas St Se, Grand Rapids, MI, 49505-5613
person
Provider Profile Details
NPI Number
1609129782
Provider Name
Ronald Debose
Credential
Provider Entity Type
Individual
Gender
Male
Address
1139 Thomas St Se, Grand Rapids, MI, 49505-5613
Phone Number
616-459-6817
Fax Number
616-459-1930
Provider Enumeration Date
10/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1139 Thomas St Se
City
State
Zip
49506-2665
Phone Number
616-459-6817
Fax Number
616-459-1930
person
Provider Business Mailing Address Details
Address
1139 Thomas St Se
City
State
Zip
49506-2665
Phone Number
616-459-6817
Fax Number
616-459-1930
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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