Provider Demographics
NPI:1972215663
Name:OCCUPATIONAL PLANNING AND PLACEMENT INC.
Entity Type:Organization
Organization Name:OCCUPATIONAL PLANNING AND PLACEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position: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, LPC, CRC, CCM
Authorized Official - Phone:231-582-2293
Mailing Address - Street 1:7757 FERRY RD
Mailing Address - Street 2:
Mailing Address - City:EAST JORDAN
Mailing Address - State:MI
Mailing Address - Zip Code:49727-9545
Mailing Address - Country:US
Mailing Address - Phone:231-582-2293
Mailing Address - Fax:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1629105937OtherINSURANCE AND PRIVATE PAY