Organization
THE OPEN DOOR CHURCH OF GOD IN CHRIST-DETROIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DORSEY JR. CHW (ASSISTANT PASTOR)
(313) 526-3460
Entity
Organization
Contact information
Practice address
12411 E 7 MILE RD, DETROIT, MI 48205-2154
(313) 526-3460
(313) 526-7348
Mailing address
12411 E 7 MILE RD, DETROIT, MI 48205-2154
(313) 526-3460
(313) 526-7348
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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