Organization
POSITIVE IMAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIESHA HEMINGWAY FAODP (OFFICE ASSISTANT)
(313) 822-6940
Entity
Organization
Contact information
Practice address
13336 E WARREN AVE, DETROIT, MI 48215-2112
(313) 822-6940
(313) 822-6940
Mailing address
13336 EAST WARREN, DETROIT, MI 48215
(313) 822-6940
(313) 822-6940
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
822778
MI
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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