# IMAGINE U

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

## Provider details

- **NPI number:** 1780224725
- **Authorized official:** ANNETTE DUMAS (DIRECTOR)
- **Authorized official phone:** (313) 870-7893

## Contact information

- **Practice address:** 62 MASSACHUSETTS ST \# 3, HIGHLAND PARK, MI 48203-3537
- **Practice address phone:** (313) 870-7893
- **Mailing address:** 6415 SADIE LN, VAN BUREN TWP, MI 48111-5260
- **Mailing address phone:** (313) 870-7893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2020
- **Last updated:** 01/07/2020
