Organization
INSTITUTE OF SUPPORTIVE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN ARNOLD (EXECUTIVE DIRECTOR)
(313) 733-4528
Entity
Organization
Contact information
Practice address
19940 CONANT ST STE ABC, DETROIT, MI 48234-1494
(313) 733-4528
(313) 733-4532
Mailing address
19940 CONANT ST STE ABC, DETROIT, MI 48234-1494
(313) 733-4528
(313) 733-4532
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
SA0823269
MI
261QM2800X
Methadone Clinic
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
SA0823269
MI
Other
Enumeration date
11/10/2015
Last updated
06/16/2018
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