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Organization

MICHIGAN DIAGNOSTIC ALCOHOL AND DRUG SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KUMAR GIRI (OWNER)
(586) 943-7390
Entity
Organization

Contact information

Practice address
2449 E 12 MILE RD, WARREN, MI 48092-5647
(586) 510-4992
(586) 393-5012
Mailing address
2449 E 12 MILE RD, WARREN, MI 48092-5647
(586) 510-4992
(586) 393-5012

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TA0400X
Addiction (Substance Use Disorder) Psychologist
106H00000X
Marriage & Family Therapist

Other

Enumeration date
06/01/2016
Last updated
08/17/2016
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