| Cristo Rey Community Center | |
|
1717 N High St Lansing MI 48906-4529 | |
| (517) 372-4700 | |
| (517) 372-3314 |
| Full Name | Cristo Rey Community Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1717 N High St, Lansing, Michigan |
| Authorized Official Name and Position | Carol Lynn Patterson (PROGRAM & CLINICAL DIRECTOR OF COUN) |
| Authorized Official Contact | 5173724700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cristo Rey Community Center 1717 N High St Lansing MI 48906-4529 Ph: (517) 372-4700 | Cristo Rey Community Center 1717 N High St Lansing MI 48906-4529 Ph: (517) 372-4700 |
| NPI Number | 1700901964 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700901964 | NPI | - | NPPES |
| 3148943 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 330041 (Michigan) | Primary |
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