Individual
MR. KIRK D. PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AODA
Contact information
Practice address
300 W MCNICHOLS RD, DETROIT, MI 48203-2703
(313) 867-8015
(313) 867-8040
Mailing address
16055 EDWARD ST, HIGHLAND PARK, MI 48203-2717
(313) 867-8015
(313) 867-8040
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MI
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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