Organization
NORTH EAST GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALTON REID (QUALIFIED MENTAL HEALTH PROFESSIONA)
(313) 308-1400
Entity
Organization
Contact information
Practice address
2900 CONNER ST, DETROIT, MI 48215-2407
(313) 308-1400
(313) 308-1600
Mailing address
2900 CONNER ST, DETROIT, MI 48215-2407
(313) 308-1400
(313) 308-1600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1922037134
MI
251B00000X
Case Management Agency
Primary
1922037134
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1923037134
—
MI
Enumeration date
12/10/2014
Last updated
12/10/2014
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