person
Kenneth Deon Blue, CADCM
Substance Abuse Rehabilitation Facility in Detroit, Michigan
NPI 1518236116

Kenneth Deon Blue is a Substance Abuse Rehabilitation Facility based in Detroit, MI. Kenneth Deon Blue practices in Detroit, MI and has the professional credentials of CADCM. The NPI Number for Kenneth Deon Blue is 1518236116 and holds a License No. (Michigan).

The current practice location address for Kenneth Deon Blue is 12305 Dexter Ave, Detroit, MI and can be reached out via phone at 313-397-1306 and via fax at 313-397-6010.

Location: 12305 Dexter Ave, Detroit, MI, 48206-1015
person
Provider Profile Details
NPI Number
1518236116
Provider Name
Kenneth Deon Blue
Credential
CADCM
Provider Entity Type
Individual
Gender
Male
Address
12305 Dexter Ave, Detroit, MI, 48206-1015
Phone Number
313-397-1306
Fax Number
313-397-6010
Provider Enumeration Date
12/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12305 Dexter Ave
City
State
Zip
48206-1015
Phone Number
313-397-1306
Fax Number
313-397-6010
person
Provider Business Mailing Address Details
Address
12305 Dexter Ave
City
State
Zip
48206-1015
Phone Number
313-397-1306
Fax Number
313-397-6010
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
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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