Organization
FAITH HOPE & LOVE OUTREACH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DJUANA L COATS MCC (EXECUTIVE DIRECTOR)
(313) 646-6864
Entity
Organization
Contact information
Practice address
18284 JAMES COUZENS FWY., DETROIT, MI 48235-2503
(313) 646-6864
Mailing address
18284 JAMES COUZENS FWY., DETROIT, MI 48235-2503
(313) 646-6864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
11/07/2019
Last updated
06/18/2020
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