Organization
DETROIT RESCUE MISSION MINISTRIES
Active
Other names
Genesis House Three
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD AUDI (CHIEF EXECUTIVE OFFICER)
(313) 993-4700
Entity
Organization
Contact information
Practice address
3840 FAIRVIEW ST, DETROIT, MI 48214-1608
(313) 331-8990
(313) 331-6375
Mailing address
150 STIMSON ST, DETROIT, MI 48201-2410
(313) 993-4700
(313) 831-2299
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
821050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3022440
—
MI
Enumeration date
03/13/2007
Last updated
08/22/2020
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