Healthcare Provider Details

I. General information

NPI: 1780047365
Provider Name (Legal Business Name): RECOVERY PHYSICIANS NETWORK OF MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10499 N 48TH ST
AUGUSTA MI
49012-9500
US

IV. Provider business mailing address

1000 HEALTH PARK DR STE 400
BRENTWOOD TN
37027-5577
US

V. Phone/Fax

Practice location:
  • Phone: 269-282-7700
  • Fax:
Mailing address:
  • Phone: 615-386-7255
  • Fax: 615-645-7445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State

VIII. Authorized Official

Name: STEVEN FILTON
Title or Position: EVP - CHIEF FINANCIAL OFFICER
Credential:
Phone: 610-382-3319