Organization
CHERRY STREAT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVERY E. BROWN JR. MA, LPC, CAAC, ICAAD (CLINICAL SUPERVISOR)
(313) 822-4060
Entity
Organization
Contact information
Practice address
11105 E JEFFERSON AVE, DETROIT, MI 48214-3317
(313) 822-4060
(313) 822-1130
Mailing address
11105 E JEFFERSON AVE, DETROIT, MI 48214-3317
(313) 822-4060
(313) 822-1130
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
822051
MI
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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