Organization · Type 2 NPI

Emanuel T. Vanbolden, Phd, Lp, PC

Community/Behavioral Health Agency · Detroit, MI

NPI number 1013217660 Active

Practice location

60 Farnsworth St
Detroit, MI 48202-4060

Call (313) 577-2840 Map

Fax (313) 577-8949

Mailing address

42335 Woodward Ave
Bloomfield Hills, MI 48304-5040

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X6301013909 (MI)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1013217660

Emanuel T. Vanbolden, Phd, Lp, PC's National Provider Identifier is 1013217660, issued on Oct 29, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 29, 2010.