Organization
DETROIT JIT SHUT SHOWS DOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMAR BRYANT (PRESIDENT)
(313) 210-2684
Entity
Organization
Contact information
Practice address
441 TENNESSEE ST, DETROIT, MI 48215-3052
(313) 210-2684
Mailing address
441 TENNESSEE ST, DETROIT, MI 48215-3052
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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