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Organization

CRISTO REY COMMUNITY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT R POWELL LMSW (DIRECTOR OF COUNSELING)
(517) 372-4700
Entity
Organization

Contact information

Practice address
1717 N HIGH ST, LANSING, MI 48906-4529
(517) 372-4700
(517) 372-3314
Mailing address
1717 N HIGH ST, LANSING, MI 48906-4529
(517) 372-4700
(517) 372-3314

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
330041
MI
101YM0800X
Mental Health Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker

Other

Enumeration date
03/20/2007
Last updated
03/06/2025
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