Provider Demographics
NPI:1578946059
Name:TEN SIXTEEN RECOVERY NETWORK
Entity Type:Organization
Organization Name:TEN SIXTEEN RECOVERY NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM IMPACT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:HARPER
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW
Authorized Official - Phone:989-631-0241
Mailing Address - Street 1:133 N SAGINAW RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-3350
Mailing Address - Country:US
Mailing Address - Phone:989-631-0241
Mailing Address - Fax:989-835-9963
Practice Address - Street 1:1016 EASTMAN AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-4214
Practice Address - Country:US
Practice Address - Phone:989-631-0241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISA0560047251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health