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Ncadd-impact Adolescent Health Center
Substance Abuse Rehabilitation Facility in Detroit, Michigan
NPI 1134341092

Ncadd-impact Adolescent Health Center is a Substance Abuse Rehabilitation Facility based in River Rouge, MI. Ncadd-impact Adolescent Health Center practices in Detroit, MI. The NPI Number for Ncadd-impact Adolescent Health Center is 1134341092 and holds a License No. C1820235935 (Michigan).

The current practice location address for Ncadd-impact Adolescent Health Center is 5555 Conner St, Detroit, MI and can be reached out via phone at 313-921-8102 and via fax at 313-921-4184.

Location: 5555 Conner St, Detroit, MI, 48218-1025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134341092
Provider Name
Ncadd-impact Adolescent Health Center
Credential
Provider Entity Type
Organization
Address
5555 Conner St, Detroit, MI, 48218-1025
Phone Number
313-921-8102
Fax Number
313-921-4184
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5555 Conner St
City
Detroit
State
Michigan
Zip
48213-3448
Phone Number
313-921-8102
Fax Number
313-921-4184
person
Provider Business Mailing Address Details
Address
5555 Conner St
City
Detroit
State
Michigan
Zip
48213-3448
Phone Number
313-921-8102
Fax Number
313-921-4184
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
C1820235935 (Michigan)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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