Organization
AVALON HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HURST PA (PRESIDENT)
(313) 964-9701
Entity
Organization
Contact information
Practice address
601 BAGLEY ST, DETROIT, MI 48226-1306
(313) 964-9701
Mailing address
601 BAGLEY ST, DETROIT, MI 48226-1306
(313) 964-9701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
06/12/2023
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