Organization
POSITIVE IMAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAISHA KENYATTA LMSW,CAAC (EXECUTIVE DIRECTOR)
(313) 822-6940
Entity
Organization
Contact information
Practice address
13336 E.WARREN, DETROIT, MI 48229
(313) 822-6940
(313) 822-0176
Mailing address
13336 E.WARREN, DETROIT, MI 48229
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
6401005925
MI
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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