| Detroit East | |
|
8925 E Jefferson Ave Apt 14 South Detroit MI 48214-4183 | |
| (313) 384-8449 | |
| Not Available |
| Full Name | Detroit East |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8925 E Jefferson Ave, Detroit, Michigan |
| Authorized Official Name and Position | Elizabeth Cichon (COO) |
| Authorized Official Contact | 3136262321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit East 8925 E Jefferson Ave Apt 14 South Detroit MI 48214-4183 Ph: (313) 384-8449 | Detroit East 8925 E Jefferson Ave Apt 14 South Detroit MI 48214-4183 Ph: (313) 384-8449 |
| NPI Number | 1760936926 |
|---|---|
| Provider Enumeration Date | 08/05/2016 |
| Last Update Date | 08/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760936926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801015243 (Michigan) | Primary |
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