person
Mr. Thomas Harrison Black
Peer Specialist in Detroit, Michigan
NPI 1932687407

Thomas Harrison Black is a Peer Specialist based in Center Line, MI. Thomas Harrison Black practices in Detroit, MI. The NPI Number for Thomas Harrison Black is 1932687407 and holds a License No. (Michigan).

The current practice location address for Thomas Harrison Black is 1121 E Mcnichols Rd, Detroit, MI and can be reached out via phone at 313-365-3113. You can also correspond with Thomas Harrison Black through the mailing address at 8290 E 10 MILE RD # A-15, CENTER LINE, MI - 48015-1412 (mailing address contact number: 586-823-1465).

Location: 1121 E Mcnichols Rd, Detroit, MI, 48015-1412
person
Provider Profile Details
NPI Number
1932687407
Provider Name
Thomas Harrison Black
Credential
Provider Entity Type
Individual
Gender
Male
Address
1121 E Mcnichols Rd, Detroit, MI, 48015-1412
Phone Number
313-365-3113
Fax Number
Provider Enumeration Date
08/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1121 E Mcnichols Rd
City
State
Zip
48203-2857
Phone Number
313-365-3113
Fax Number
person
Provider Business Mailing Address Details
Address
1121 E Mcnichols Rd
City
State
Zip
48203-2857
Phone Number
313-365-3113
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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