Provider Demographics
NPI:1922418821
Name:OCCUPATIONAL PLANNING AND PLACEMENT
Entity Type:Organization
Organization Name:OCCUPATIONAL PLANNING AND PLACEMENT
Other - Org Name:OPP INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADOLPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:CWIK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CRC, CCM, LPC
Authorized Official - Phone:231-582-2293
Mailing Address - Street 1:PO BOX 665
Mailing Address - Street 2:
Mailing Address - City:BOYNE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49712-0665
Mailing Address - Country:US
Mailing Address - Phone:231-582-2293
Mailing Address - Fax:231-582-2293
Practice Address - Street 1:7757 FERRY RD
Practice Address - Street 2:
Practice Address - City:EAST JORDAN
Practice Address - State:MI
Practice Address - Zip Code:49727-9545
Practice Address - Country:US
Practice Address - Phone:231-582-2293
Practice Address - Fax:231-582-2293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0713251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1629105937OtherNPI INDIVIDUAL