Organization
DENSON EL CENTERS FOR RECOVERY SUPPORT SERVICES
Active
Other names
Denson EL Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. T'MANDO A DENSON-EL SR. MD, CPRM, SBIRT, CCR (MEDICAL DIRECTOR)
(313) 293-1609
Entity
Organization
Contact information
Practice address
15771 MACK AVE, DETROIT, MI 48224-3497
(844) 462-8423
(313) 774-2956
Mailing address
6551 GRAND RIVER AVE, DETROIT, MI 48208-1125
(313) 293-1609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
—
—
175T00000X
Peer Specialist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
405300000X
Prevention Professional
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174632145
—
MI
05
—
1255651717
—
MI
05
—
1336429224
—
MI
05
—
1346635018
—
MI
05
—
159828090
—
MI
05
—
1649382474
—
MI
05
—
1679014864
—
MI
05
—
1699755173
—
MI
05
—
1730760034
—
MI
05
—
1770746901
—
MI
Enumeration date
03/14/2023
Last updated
03/30/2023
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