person
Mr. Paul Ira Ferrell I, CADC
Substance Abuse Rehabilitation Facility in Pontiac, Michigan
NPI 1982940045

Paul Ira Ferrell I is a Substance Abuse Rehabilitation Facility based in Pontiac, MI. Paul Ira Ferrell I practices in Pontiac, MI and has the professional credentials of CADC. The NPI Number for Paul Ira Ferrell I is 1982940045 and holds a License No. 630950 (Michigan).

The current practice location address for Paul Ira Ferrell I is 54 Seneca Street, Pontiac, MI and can be reached out via phone at 248-334-7760. You can also correspond with Paul Ira Ferrell I through the mailing address at 363 W HURON ST, PONTIAC, MI - 48341-1423 (mailing address contact number: 248-745-6940).

Location: 54 Seneca Street, Pontiac, MI, 48341-1423
person
Provider Profile Details
NPI Number
1982940045
Provider Name
Paul Ira Ferrell I
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
54 Seneca Street, Pontiac, MI, 48341-1423
Phone Number
248-334-7760
Fax Number
Provider Enumeration Date
12/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
54 Seneca Street
City
State
Zip
48340-2349
Phone Number
248-334-7760
Fax Number
person
Provider Business Mailing Address Details
Address
54 Seneca Street
City
State
Zip
48340-2349
Phone Number
248-334-7760
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
630950 (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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