Organization
EMMANUEL HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY THOMPSON (EXECUTIVE DIRECTOR)
(313) 397-2372
Entity
Organization
Contact information
Practice address
14750 SAINT MARYS ST, DETROIT, MI 48227-1862
(313) 397-2372
(313) 651-5225
Mailing address
14750 SAINT MARYS ST, DETROIT, MI 48227-1862
(313) 397-2372
(313) 651-5225
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
6301006483
MI
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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