Organization
MORIAH, INCORPORATED
Active
Organization
MORIAH, INCORPORATED
Active
Parent organization
MORIAH, INCORPORATED
Other names
Eisenhower Addiction Recovery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MORIAH, INCORPORATED
Authorized official
TANJA TADDONIO (BILLING AND COLLECTIONS MGR)
(734) 412-6485
Entity
Organization
Contact information
Practice address
3879 PACKARD ST UNIT B, ANN ARBOR, MI 48108-2011
(734) 412-6485
Mailing address
3200 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3231
(734) 677-0070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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