FAITH CENTRE OF MICHIGAN LLC


Address: 16551 Warren Ave, Detroit, MI 48038-0078
Phone: 7346745120

FAITH CENTRE OF MICHIGAN LLC (NPI# 1821365032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821365032
Entity Type Organization
Organization Name FAITH CENTRE OF MICHIGAN LLC
Practice Address 16551 Warren Ave
Detroit
MI 48038-0078
Mailing Address Po Box 381218
Clinton Township
MI 48038-0078
Practice Telephone 7346745120
Mailing Telephone 7346745120
Enumeration Date 2011-11-17
Last Update Date 2011-11-17
Authorized Official Name CAROLYN WRIGHT (CEO)
Authorized Official Telephone 7346745120
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 16551 WARREN AVE
City DETROIT
State MI
Zip Code 48038-0078

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1518438746 Curron Thomas Counselor 16850 Wyoming St, Apartment 328, Detroit, MI 48221-3415 2018-12-16
1861962094 Reid Talley Counselor 12010 Elmhurst, Detroit, MI 48206 2018-11-30
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Competitor

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City DETROIT
Zip Code 48038

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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