Organization
SHAR, INC
Active
Organization
SHAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT VAUGHTER LMSW (CEO)
(313) 894-8444
Entity
Organization
Contact information
Practice address
1852 WEST GRAND BLVD, DETROIT, MI 48208
(313) 894-8444
Mailing address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-8444
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
L528696
MI
324500000X
Substance Abuse Rehabilitation Facility
L528696
MI
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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