# JABEZ OP AND TH PROGRAM

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

## Provider details

- **NPI number:** 1831215888
- **Authorized official:** MR. EDWARD A ANIAPAM BSC. (PRESIDENT)
- **Authorized official phone:** (313) 418-7640

## Contact information

- **Practice address:** 7510 DUNEDIN ST \# 12, DETROIT, MI 48206-2622
- **Practice address phone:** (313) 418-7640
- **Mailing address:** 71 RICHTON ST, HIGHLAND PARK, MI 48203-3502
- **Mailing address phone:** (313) 418-7640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 822958 | MI | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020