Organization
SELF HELP ADDICTION REHABILITATION (SHAR)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANETIA MARIE NORRIS LMSW, ACSW (CLINICAL MANAGER)
(313) 894-2410
Entity
Organization
Contact information
Practice address
20592 WOODBINE ST, DETROIT, MI 48219-4512
(313) 894-2410
(313) 894-2712
Mailing address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-2410
(313) 894-2712
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
820174
MI
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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