Organization
CENTER FOR ESTABLISHING RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORI LEANN LOEWE MA, LPC, CAADC (OWNER/THERAPIST)
(313) 288-2689
Entity
Organization
Contact information
Practice address
100 RIVERFRONT DR APT 2610, DETROIT, MI 48226-4542
(313) 288-2689
Mailing address
1209 CATALPA DR UNIT 1, ROYAL OAK, MI 48067-1162
(313) 288-2689
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912103490
—
MI
Enumeration date
05/24/2019
Last updated
05/24/2019
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