# THE OPEN DOOR CHURCH OF GOD IN CHRIST-DETROIT

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

## Provider details

- **NPI number:** 1356113856
- **Authorized official:** MR. MICHAEL DORSEY JR. CHW (ASSISTANT PASTOR)
- **Authorized official phone:** (313) 526-3460

## Contact information

- **Practice address:** 12411 E 7 MILE RD, DETROIT, MI 48205-2154
- **Practice address phone:** (313) 526-3460
- **Practice address fax:** (313) 526-7348
- **Mailing address:** 12411 E 7 MILE RD, DETROIT, MI 48205-2154
- **Mailing address phone:** (313) 526-3460
- **Mailing address fax:** (313) 526-7348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251T00000X | PACE Provider Organization | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 10/27/2023
- **Last updated:** 10/27/2023