# SAMARITAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lutheran Socail Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407487168
- **Authorized official:** JENNY CEDERSTROM (CFO)
- **Authorized official phone:** (313) 308-2764

## Contact information

- **Practice address:** 313 LANSING ST STE 5, CHARLOTTE, MI 48813-1675
- **Practice address phone:** (313) 308-8839
- **Mailing address:** 8131 E JEFFERSON AVE, DETROIT, MI 48214-2610
- **Mailing address phone:** (313) 823-7980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 01/31/2020
- **Last updated:** 01/31/2020