Organization
NATIONAL COUNCIL ON ALCOHOLISM DRUG DEPENDENCE
Active
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
Update your record
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