Individual provider · Type 1 NPI

Kathy A. Henderson, CAC-1

Substance Abuse Rehabilitation Facility · Detroit, MI

NPI number 1235309394 Active

Practice location

19941 Gallagher St.
Detroit, MI 48234-1655

Call (313) 331-8990 Map

Mailing address

19941 Gallagher St
Detroit, MI 48234-1655

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X1-00030 (MI)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1235309394

Kathy A. Henderson, CAC-1's National Provider Identifier is 1235309394, issued on Mar 5, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Detroit, MI. The record was last updated on Mar 5, 2008.