Organization
COBAP SUBSTANCE ABUSETREATMENT & PREVENTION PROGRAM
Active
Other names
Council Of Baptist Pastors (COBAP)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W MARKS SR. MSW, ACSW,DR.MIN (EXECUTIVE DIRECTOR)
(313) 893-4275
Entity
Organization
Contact information
Practice address
17357 KLINGER ST, DETROIT, MI 48212-1035
(313) 893-4275
(313) 893-0713
Mailing address
17357 KLINGER ST, DETROIT, MI 48212-1035
(313) 893-4275
(313) 893-0713
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
820805
MI
Other
Enumeration date
03/15/2007
Last updated
06/26/2008
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