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Organization
ISLAMIC CENTER OF DETROIT
Active
Organization
ISLAMIC CENTER OF DETROIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUFIAN NABHAN (EXECUTIVE DIRECTOR)
(313) 584-4143
Entity
Organization
Contact information
Practice address
14350 TIREMAN ST, DETROIT, MI 48228-6100
(313) 584-4143
Mailing address
14350 TIREMAN ST, DETROIT, MI 48228-6100
(313) 584-4143
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1000X
Migrant Health Clinic/Center
—
NULL
332U00000X
Home Delivered Meals
—
NULL
Other
Enumeration date
05/31/2024
Last updated
01/24/2025
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