# NORTH EAST GUIDANCE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063810893
- **Authorized official:** MR. ALTON REID (QUALIFIED MENTAL HEALTH PROFESSIONA)
- **Authorized official phone:** (313) 308-1400

## Contact information

- **Practice address:** 2900 CONNER ST, DETROIT, MI 48215-2407
- **Practice address phone:** (313) 308-1400
- **Practice address fax:** (313) 308-1600
- **Mailing address:** 2900 CONNER ST, DETROIT, MI 48215-2407
- **Mailing address phone:** (313) 308-1400
- **Mailing address fax:** (313) 308-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 1922037134 | MI | — |
| 251B00000X | Case Management Agency | 1922037134 | MI | Yes |

## Other

- **Enumeration date:** 12/10/2014
- **Last updated:** 12/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1923037134 | — | MI |
