Recovery Technology LLC

NPI #1942476072 in Jackson, Michigan

Provider Information

NPI Number: 1942476072
Entity Type: Organization
Organization Name: Recovery Technology LLC
Primary Specialty: Psychologist
Enumeration Date: May 8, 2008
Last Updated: Jun 11, 2008

Practice Location

Address: 1200 N WEST AVE
Address 2: SUITE 400
City: Jackson
State: Michigan
ZIP Code: 49202-2179
Phone: (517) 780-3336

Authorized Official

Name: GREGORY F GALLAHER, LMSW
Title: CEO
Phone: (517) 780-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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