Organization
VISIONS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DAVIS CPRM CPS (DIRECTOR)
(313) 460-0343
Entity
Organization
Contact information
Practice address
182 FARRAND PARK, HIGHLAND PARK, MI 48203-3354
(313) 868-2267
Mailing address
18426 ROSELAWN ST, DETROIT, MI 48221-2116
(313) 460-0343
(313) 341-2569
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA0823060
MI
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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