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Organization

HOW-ADOLESCENT SUBSTANCE ABUSE PROGRAM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY FRANKLIN (OWNER)
(313) 778-4524
Entity
Organization

Contact information

Practice address
8131 E OUTER DR, DETROIT, MI 48213-1323
(313) 778-4524
Mailing address
8131 E OUTER DR, DETROIT, MI 48213-1323

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
207QA0000X
Adolescent Medicine (Family Medicine) Physician
2084P0804X
Child & Adolescent Psychiatry Physician
Primary

Other

Enumeration date
11/02/2013
Last updated
07/13/2020
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