Organization · Type 2 NPI
Manna of Detroit Inc.
Addiction (Substance Use Disorder) Counselor · Detroit, MI
NPI number
1629050471
Active
Practice location
12048 Grand River Ave
Detroit, MI 48204-1836
Fax (313) 491-0616
Mailing address
PO Box 20696, 12048 Grand River, Det.mi 48204
Ferndale, MI 48220-0696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 822416 (MI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
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- Dad-Delphine Alfred Duncan Foundation for the Deaf and Hard of HearingAddiction (Substance Use Disorder) Counselor Detroit, MI NPI 1326416876
About NPI 1629050471
Manna of Detroit Inc.'s National Provider Identifier is 1629050471, issued on Nov 17, 2005. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Aug 22, 2020.