Organization
AARIC CARE OUTPATIENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZIPPORAH K BOLAR LLPC (PROGRAM DIRECTOR)
(313) 784-5348
Entity
Organization
Contact information
Practice address
17830 E WARREN AVE, DETROIT, MI 48224-1332
(313) 784-5348
Mailing address
17830 E WARREN AVE, DETROIT, MI 48224-1332
(313) 784-5348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
823200
MI
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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