Mr. Edward A Booker Jr.
Mr. Edward A Booker Jr. is a Substance Abuse Rehabilitation Facility in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2012
Practice location Address checks out
1740 Willard Ave SEGrand Rapids, MI 49507-2662
Phone: (616) 886-6917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 410376 (MI) |
|---|
Record details
| NPI number | 1588918841 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 7, 2012 |
| Last updated in NPPES | November 7, 2012 |
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