Organization
IMAGINE U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE DUMAS (DIRECTOR)
(313) 870-7893
Entity
Organization
Contact information
Practice address
62 MASSACHUSETTS ST # 3, HIGHLAND PARK, MI 48203-3537
(313) 870-7893
Mailing address
6415 SADIE LN, VAN BUREN TWP, MI 48111-5260
(313) 870-7893
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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