Organization
SAMARITAS
Active
Other names
Lutheran Socail Services
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY CEDERSTROM (CFO)
(313) 308-2764
Entity
Organization
Contact information
Practice address
313 LANSING ST STE 5, CHARLOTTE, MI 48813-1675
(313) 308-8839
Mailing address
8131 E JEFFERSON AVE, DETROIT, MI 48214-2610
(313) 823-7980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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