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Organization

INSIGHT AND INTERVENTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHERRY EILEEN BROWN LMSW (CEO)
(313) 595-6725
Entity
Organization

Contact information

Practice address
12071 ROBSON ST, DETROIT, MI 48227-2437
(313) 595-6725
(313) 397-3458
Mailing address
12071 ROBSON ST, DETROIT, MI 48227-2437
(313) 595-6725
(313) 397-3458

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
6801085593
MI
251S00000X
Community/Behavioral Health Agency
Primary
324500000X
Substance Abuse Rehabilitation Facility
680185593
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831375658
NPI
MI
Enumeration date
04/29/2014
Last updated
04/29/2014
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