Superior Sober House

NPI #1780449306 in Marquette, Michigan

Provider Information

NPI Number: 1780449306
Entity Type: Organization
Organization Name: Superior Sober House
Subpart: Yes (part of a larger organization)
Parent Organization: SUPERIOR SOBER HOUSE
Primary Specialty: Community Health Worker
Enumeration Date: Feb 14, 2024
Last Updated: Feb 14, 2024

Practice Location

Address: 620 S LAKE ST
City: Marquette
State: Michigan
ZIP Code: 49855-5150
Phone: (248) 563-9988

Authorized Official

Name: RYAN TODD REDMOND, CHW,CPRC
Title: EXECUTIVE DIRECTOR
Phone: (248) 563-9988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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