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Organization
MICHIGAN DIAGNOSTIC ALCOHOL AND DRUG SERVICES LLC
Active
Organization
MICHIGAN DIAGNOSTIC ALCOHOL AND DRUG SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KUMAR GIRI (OWNER)
(586) 943-7390
Entity
Organization
Contact information
Practice address
2449 E 12 MILE RD, WARREN, MI 48092-5647
(586) 510-4992
(586) 393-5012
Mailing address
2449 E 12 MILE RD, WARREN, MI 48092-5647
(586) 510-4992
(586) 393-5012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/01/2016
Last updated
08/17/2016
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