institution
Gratiot Clinic
Addiction (Substance Use Disorder) Counselor in Detroit, Michigan
NPI 1710102249

Gratiot Clinic is an Addiction (Substance Use Disorder) Counselor based in Detroit, MI and is specialized in Addiction (Substance Use Disorder). Gratiot Clinic practices in Detroit, MI. The NPI Number for Gratiot Clinic is 1710102249 and holds a License No. 820522 (Michigan).

The current practice location address for Gratiot Clinic is 3506 Gratiot Ave, Detroit, MI and can be reached out via phone at 313-887-6761 and via fax at 313-852-4847.

Location: 3506 Gratiot Ave, Detroit, MI, 48207-1830
institution
Provider Profile Details
NPI Number
1710102249
Provider Name
Gratiot Clinic
Credential
Provider Entity Type
Organization
Address
3506 Gratiot Ave, Detroit, MI, 48207-1830
Phone Number
313-887-6761
Fax Number
313-852-4847
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MI10142 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
3506 Gratiot Ave
City
State
Zip
48207-1830
Phone Number
313-887-6761
Fax Number
313-852-4847
person
Provider Business Mailing Address Details
Address
3506 Gratiot Ave
City
State
Zip
48207-1830
Phone Number
313-887-6761
Fax Number
313-852-4847
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
820522 (Michigan)
Definition
Definition to come...
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