Organization · Type 2 NPI

Moriah, Incorporated

Substance Use Disorder Rehabilitation Clinic/Center · Ann Arbor, MI

NPI number 1992308977 Active

Practice location

3879 Packard St Unit B
Ann Arbor, MI 48108-2011

Call (734) 412-6485 Map

Mailing address

3200 E Eisenhower Pkwy
Ann Arbor, MI 48108-3231

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst	103K00000X	None listed
Addiction (Substance Use Disorder) Psychologist	103TA0400X	None listed
Social Worker	104100000X	None listed
Addiction Psychiatry Physician	2084P0802X	None listed
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

Another provider at this address

Moriah, IncorporatedDevelopmental Disabilities Clinic/Center Ann Arbor, MI NPI 1982272365

Other substance use disorder rehabilitation clinic/center providers in Ann Arbor

See all in Ann Arbor →

NPI record

NPI: 1992308977
Entity type: Organization (Type 2)
Issued: Nov 20, 2020
Last updated: Nov 20, 2020
Status: Active
Subpart: Yes of Moriah, Incorporated

Other names

Eisenhower Addiction Recovery Center · doing business as

Authorized official

Tanja Taddonio
Billing and Collections MGR
(734) 412-6485

Verify this record

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.

Is this your record? How to update it.

About NPI 1992308977

Moriah, Incorporated's National Provider Identifier is 1992308977, issued on Nov 20, 2020. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Ann Arbor, MI. The record was last updated on Nov 20, 2020.