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Organization

HYPE ATHLETICS COMMUNITY INC.

Active
Other names
SAFE
Organization subpart
No

Provider details

NPI number
Authorized official
ALI NASRI SAYED (CEO)
(313) 436-0043
Entity
Organization

Contact information

Practice address
23302 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2493
(313) 436-0043
(313) 436-0044
Mailing address
23302 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2493
(313) 436-0043
(313) 436-0044

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SA0823292
LARA
MI
Enumeration date
01/18/2019
Last updated
04/26/2021
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