Organization
THE HOUSE OF EMMANUEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS GOODWIN (VICE PRESIDENT)
(419) 944-8845
Entity
Organization
Contact information
Practice address
670 E CARPENTER RD, FLINT, MI 48505-2156
(419) 944-8845
Mailing address
670 E CARPENTER RD, FLINT, MI 48505-2156
(419) 944-8845
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/04/2019
Last updated
07/31/2024
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