Provider Demographics
NPI:1609240662
Name:DROP-IN SELF-HELP CENTER
Entity Type:Organization
Organization Name:DROP-IN SELF-HELP CENTER
Other - Org Name:SHARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:RRT, RN, CCM, BHS
Authorized Official - Phone:269-966-9050
Mailing Address - Street 1:120 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49037-8417
Mailing Address - Country:US
Mailing Address - Phone:269-966-9050
Mailing Address - Fax:269-282-1057
Practice Address - Street 1:120 GROVE ST
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49037-8417
Practice Address - Country:US
Practice Address - Phone:269-966-9050
Practice Address - Fax:269-282-1057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-13
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health