Organization
ABUNDANT COMMUNITY RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL DEWBERRY (ADMINISTRATOR)
(313) 881-3111
Entity
Organization
Contact information
Practice address
20267 HUNTINGTON AVE, HARPER WOODS, MI 48225-1831
(313) 881-3111
(313) 881-3120
Mailing address
20267 HUNTINGTON AVE, HARPER WOODS, MI 48225-1831
(313) 881-3111
(313) 881-3120
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
823182
MI
252Y00000X
Early Intervention Provider Agency
823182
MI
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
MI
Other
Enumeration date
01/30/2012
Last updated
04/10/2013
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