WOLVERINE HUMAN SERVICES (NPI# 1891978441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891978441 |
| Entity Type | Organization |
| Organization Name | WOLVERINE HUMAN SERVICES |
| Practice Address |
150 Enterprise Dr Vassar MI 48768-9584 |
| Mailing Address |
17000 E Warren Ave Detroit MI 48224-2358 |
| Practice Telephone | 9898233040 |
| Mailing Telephone | 3138864259 |
| Mailing Fax Number | 3138864857 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |
| Authorized Official Name | PETER GUMBLETON (VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 3138864259 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
MI | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720434426 | Wolverine Human Services | Social Worker | 43902 Woodward Ave Ste 100, Bloomfield Hills, MI 48302-5021 | 2016-05-11 |
| 1871831750 | Wolverine Human Services | Psychiatric Residential Treatment Facility | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2013-01-28 |
| 1952617789 | Wolverine Human Services | Substance Abuse Rehabilitation Facility | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2010-08-31 |
| 1700103397 | Wolverine Human Services | Substance Abuse Rehabilitation Facility | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2010-04-22 |
| 1548596216 | Wolverine Human Services | Substance Abuse Rehabilitation Facility | 1120 Commerce Dr, Vassar, MI 48768-9588 | 2009-10-30 |
| Street Address |
150 ENTERPRISE DR |
| City | VASSAR |
| State | MI |
| Zip Code | 48768-9584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782865 | Nicole Ranae Benkert | Counselor | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2018-12-18 |
| 1235642323 | Rebecca Marlene Lutz | Counselor | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2017-11-10 |
| 1417490111 | Helga Bakk | Counselor | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2016-11-29 |
| 1598121972 | Christopher Johnston | Counselor | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2016-01-14 |
| 1417313115 | Mark Nowaczewski | Counselor | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2016-01-11 |
| 1699110031 | Ann Louise Webster Marsh | Counselor | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2013-04-29 |
| 1871831750 | Wolverine Human Services | Psychiatric Residential Treatment Facility | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2013-01-28 |
| 1487901542 | Benjamin Leal | Counselor | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2012-08-08 |
| 1063797546 | Michael J. Gillespie | Social Worker | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2011-10-17 |
| 1952617789 | Wolverine Human Services | Substance Abuse Rehabilitation Facility | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2010-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215110614 | Vassar Express Clinic Plc | Family Medicine | 193 W Huron, Vassar, MI 48768 | 2007-12-10 |
| 1740308832 | Great Lakes Bay Health Centers | Clinic/Center | 1015 Commerce, Wolverine Human Services Vassar Health Center, Vassar, MI 48768 | 2007-03-27 |
| 1003228040 | Bridget Young | Nurse Practitioner | 1212 W Saginaw Rd, Vassar, MI 48768 | 2014-05-26 |
| 1881688562 | Daniel Erwin Blossom | Chiropractor | 811 W Huron Ave, Vassar, MI 48768-1128 | 2005-09-08 |
| 1841655511 | Sally Blossom | Chiropractor | 811 W Huron Ave, Vassar, MI 48768-1128 | 2015-12-23 |
| 1063677698 | Daniel E Blossom, P C | Chiropractor | 811 W Huron Ave, Vassar, MI 48768-1128 | 2008-07-23 |
| 1649400284 | Great Lakes Bay Health Centers | Clinic/Center | 955 Commerce, Vassar, MI 48768-1208 | 2009-07-16 |
| 1811003510 | Michael Robert Hohman | Pharmacist | 181 W Huron Ave, Vassar, MI 48768-1235 | 2006-08-23 |
| 1235757113 | James King | Pharmacist | 181 W Huron Ave, Vassar, MI 48768-1235 | 2020-07-08 |
| 1548736309 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 181 W Huron Ave, Vassar, MI 48768-1235 | 2018-10-19 |
| Find all providers in zip 48768 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548596216 | Wolverine Human Services | Substance Abuse Rehabilitation Facility | 1120 Commerce Dr, Vassar, MI 48768-9588 | 2009-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156701 | Flint Odyssey House Inc. | Substance Abuse Rehabilitation Facility | 932 Beach St, Flint, MI 48502-1502 | 2019-07-21 |
| 1669899241 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 104 Malton Road, Negaunee, MI 49866 | 2014-03-21 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1881921401 | Todd-phillips Children's Home | Substance Abuse Rehabilitation Facility | 8141 E Outer Dr, Detroit, MI 48213-1323 | 2009-11-04 |
| 1851544688 | Lois Ann Brown-nelson | Substance Abuse Rehabilitation Facility | 14460 Mayfield St, Detroit, MI 48205-4131 | 2008-10-24 |
| 1588706915 | Starr Commonwealth | Substance Abuse Rehabilitation Facility | 13725 Starr Commonwealth, Albion, MI 49224-9580 | 2007-02-13 |
| 1891851226 | P.e.a.c.e. In Young Life Center, Inc. | Substance Abuse Rehabilitation Facility | 15471 Cloverlawn St, Ste 101, Detroit, MI 48238-1146 | 2006-12-29 |
| 1831682947 | Michele Baldori | Substance Abuse Rehabilitation Facility | 50430 School House Rd, Canton, MI 48187-5910 | 2018-06-13 |
| 1982128393 | Flint Odyssey House, Inc. | Substance Abuse Rehabilitation Facility | 718 Oak St, Flint, MI 48503-2614 | 2017-07-27 |
| 1437536802 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin St, Detroit, MI 48234-1460 | 2015-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.