Organization
NATIONAL COUNCIL ON ALCOHOLISM DRUG DEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN JONES CEO (PRESIDENT)
(313) 369-5400
Entity
Organization
Contact information
Practice address
16647 WYOMING ST, DETROIT, MI 48221-2848
(313) 341-9891
(313) 861-0413
Mailing address
16647 WYOMING ST, DETROIT, MI 48221-2848
(313) 341-9891
(313) 861-0413
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
101YA0400X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199150
—
MI
Enumeration date
03/27/2007
Last updated
08/22/2020
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