Organization
SHAR HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R MOORE MSW/CAADC (THERAPIST)
(313) 974-1940
Entity
Organization
Contact information
Practice address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-8444
Mailing address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-8444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C-00896
MI
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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