Organization
ACC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN SARAFA MA,LPC (DEPUTY DIRECTOR)
(313) 893-6172
Entity
Organization
Contact information
Practice address
62 W 7 MILE RD, DETROIT, MI 48203-1967
(313) 893-6172
Mailing address
62 W 7 MILE RD, DETROIT, MI 48203-1967
(313) 893-6172
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4704272539
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
01/27/2010
Last updated
01/27/2010
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