Healthcare Provider Details

I. General information

NPI: 1255386124
Provider Name (Legal Business Name): MID-MICHIGAN RECOVERY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 MOORES RIVER DR
LANSING MI
48910
US

IV. Provider business mailing address

316 MOORES RIVER DR
LANSING MI
48910
US

V. Phone/Fax

Practice location:
  • Phone: 517-887-0226
  • Fax: 517-887-8121
Mailing address:
  • Phone: 517-887-0226
  • Fax: 517-887-8121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number330001
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number330011
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number330021
License Number StateMI

VIII. Authorized Official

Name: MR. PATRICK PATTERSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 517-887-0226