# CRISTO REY COMMUNITY CENTER

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

## Provider details

- **NPI number:** 1700901964
- **Authorized official:** MR. ROBERT R POWELL LMSW (DIRECTOR OF COUNSELING)
- **Authorized official phone:** (517) 372-4700

## Contact information

- **Practice address:** 1717 N HIGH ST, LANSING, MI 48906-4529
- **Practice address phone:** (517) 372-4700
- **Practice address fax:** (517) 372-3314
- **Mailing address:** 1717 N HIGH ST, LANSING, MI 48906-4529
- **Mailing address phone:** (517) 372-4700
- **Mailing address fax:** (517) 372-3314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 330041 | MI | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 03/06/2025