Organization
EMMANUEL HOUSE
Active
Other names
Emmanuel House Recovery Program
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ARTHUR THOMPSON (DIRECTOR)
(313) 397-2372
Entity
Organization
Contact information
Practice address
14750 SAINT MARYS ST, DETROIT, MI 48227-1862
(313) 397-2372
Mailing address
14750 SAINT MARYS ST, DETROIT, MI 48227-1862
(131) 339-7237
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083169502
—
MI
Enumeration date
09/30/2022
Last updated
09/30/2022
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