Organization
300 W. MCNICHOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGE JEAN LOUIS MD (CEO)
(313) 867-8015
Entity
Organization
Contact information
Practice address
300 W MCNICHOLS RD, DETROIT, MI 48203-2703
(313) 867-8015
(313) 867-8040
Mailing address
300 W MCNICHOLS RD, DETROIT, MI 48203-2703
(313) 867-8015
(313) 867-8040
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
821264
MI
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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