=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730261397
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPLETION HOUSE, INC. DBA TURNING POINT RECOVERY CENTERS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/20/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 54 SENECA ST
-----------------------------------------------------
City | PONTIAC
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48342-2349
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-344-7760
-----------------------------------------------------
Fax | 248-334-8928
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 534 FRANKLIN RD
-----------------------------------------------------
City | PONTIAC
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48341-2527
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | KAREN SLATTERY
-----------------------------------------------------
Credential | MBA, MSW
-----------------------------------------------------
Telephone | 248-875-6236
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 324500000X
-----------------------------------------------------
Taxonomy Name | Substance Abuse Rehabilitation Facility
-----------------------------------------------------
License Number | 630622
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------