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Organization
MORIAH, INCORPORATED
Active
Organization
MORIAH, INCORPORATED
Active
Other names
EISENHOWER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TANJA TADDONIO (BILLING AND COLLECTIONS MANAGER)
(734) 677-0070
Entity
Organization
Contact information
Practice address
3200 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3231
(734) 677-0070
(734) 677-0890
Mailing address
3200 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3231
(734) 677-0070
(734) 677-0890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
174H00000X
Health Educator
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
AL810015274
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
SA0810348
MI
Other
Enumeration date
12/06/2007
Last updated
11/16/2020
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