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Organization

EMMANUEL HOUSE

Active
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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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