# REBIRTH COMMUNITY INCLUSION PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** aroma coffeehouse
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780119214
- **Authorized official:** MRS. LINDA TERESA JEFFERSON MA,LLPC,CCS,CAADC (CHIELF EXECUTIVE OFFICER)
- **Authorized official phone:** (313) 418-5667

## Contact information

- **Practice address:** 16951 MARYLAND ST, SOUTHFIELD, MI 48075-2903
- **Practice address phone:** (313) 418-5667
- **Mailing address:** 16951 MARYLAND, DETROIT, MI 48228
- **Mailing address phone:** (313) 418-5667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | MI | Yes |

## Other

- **Enumeration date:** 04/21/2017
- **Last updated:** 07/21/2022