person
Kathy A. Henderson, CAC-1
Substance Abuse Rehabilitation Facility in Detroit, Michigan
NPI 1235309394

Kathy A. Henderson is a Substance Abuse Rehabilitation Facility based in Detroit, MI. Kathy A. Henderson practices in Detroit, MI and has the professional credentials of CAC-1. The NPI Number for Kathy A. Henderson is 1235309394 and holds a License No. 1-00030 (Michigan).

The current practice location address for Kathy A. Henderson is 19941 Gallagher St., Detroit, MI and can be reached out via phone at 313-331-8990.

Location: 19941 Gallagher St., Detroit, MI, 48234-1655
person
Provider Profile Details
NPI Number
1235309394
Provider Name
Kathy A. Henderson
Credential
CAC-1
Provider Entity Type
Individual
Gender
Female
Address
19941 Gallagher St., Detroit, MI, 48234-1655
Phone Number
313-331-8990
Fax Number
Provider Enumeration Date
03/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19941 Gallagher St.
City
State
Zip
48234-1655
Phone Number
313-331-8990
Fax Number
person
Provider Business Mailing Address Details
Address
19941 Gallagher St.
City
State
Zip
48234-1655
Phone Number
313-331-8990
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
1-00030 (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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