Organization
SELF HELP ADDICTION REHABILITATION (SHAR)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS JENNINGS (INTERIM CEO)
13138942410
Entity
Organization
Contact information
Practice address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-8444
(313) 894-2712
Mailing address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-8444
(313) 894-2712
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
820174
MI
324500000X
Substance Abuse Rehabilitation Facility
820704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820174
SUBSTANCE ABUSE PROGRAM
MI
01
—
820704
SUBSTANCE ABUSE PROGRAM
MI
Enumeration date
12/28/2006
Last updated
08/22/2020
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