Organization
MARINERS INN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VAUGHN (PEER RECOVERY COACH)
(313) 962-9446
Entity
Organization
Contact information
Practice address
445 LEDYARD ST, DETROIT, MI 48201-2641
(313) 962-9446
(313) 502-5147
Mailing address
445 LEDYARD ST, DETROIT, MI 48201-2641
(313) 962-9446
(313) 502-5147
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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