Organization
METRO EAST DRUG TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA CANNON (COUNSELOR)
(313) 371-0055
Entity
Organization
Contact information
Practice address
13929 HARPER AVE, DETROIT, MI 48213-3672
(313) 371-0055
(313) 371-1409
Mailing address
19386 GABLE ST, DETROIT, MI 48234-2626
(313) 371-0055
(313) 371-1409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
821237
MI
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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