Organization
THE INNER CITY ALANO CLUB FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEPRIEST CRC (PRESIDENT)
(248) 376-6114
Entity
Organization
Contact information
Practice address
18600 WYOMING ST, DETROIT, MI 48221-2010
(248) 376-6114
Mailing address
18600 WYOMING ST, DETROIT, MI 48221-2010
(248) 376-6114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/03/2016
Last updated
01/03/2016
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