Individual provider · Type 1 NPI

Kirk D. Prescott, AODA

Substance Abuse Rehabilitation Facility · Detroit, MI

NPI number 1972964203 Active

Practice location

300 W Mcnichols Rd
Detroit, MI 48203-2703

Call (313) 867-8015 Map

Fax (313) 867-8040

Mailing address

16055 Edward St
Highland Park, MI 48203-2717

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.

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About NPI 1972964203

Kirk D. Prescott, AODA's National Provider Identifier is 1972964203, issued on Mar 15, 2016. 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 15, 2016.