Organization · Type 2 NPI

Judah Transitional & Recovery Home

Substance Abuse Rehabilitation Facility · Detroit, MI

NPI number 1841435294 Active

Practice location

20955 W 7 Mile Rd
Detroit, MI 48219-1904

Fax (313) 535-0903

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

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.

2 other providers at this address

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NPI record

NPI: 1841435294
Entity type: Organization (Type 2)
Issued: Dec 12, 2008
Last updated: Dec 12, 2008
Status: Active

Other names

<unavail>
Juda Transitional & Recovery House · former legal business name

Authorized official

Mr. Alonzo Johnson, ORDAINED MINISTER
Executive Director
(313) 982-2678

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1841435294

Judah Transitional & Recovery Home's National Provider Identifier is 1841435294, issued on Dec 12, 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 Dec 12, 2008.