Individual provider · Type 1 NPI

Thomas Harrison Black

Peer Specialist · Detroit, MI

NPI number 1932687407 Active

Practice location

1121 E Mcnichols Rd
Detroit, MI 48203-2857

Mailing address

8290 E 10 Mile Rd # A-15
Center Line, MI 48015-1412

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1932687407

Thomas Harrison Black's National Provider Identifier is 1932687407, issued on Aug 6, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Aug 6, 2018.