| Detroit Health Department | |
|
3245 E Jefferson Ave Ste 100 Detroit MI 48207-4222 | |
| (313) 876-4000 | |
| Not Available |
| Full Name | Detroit Health Department |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3245 E Jefferson Ave Ste 100, Detroit, Michigan |
| Authorized Official Name and Position | Kanzoni Asabigi (DIRECTOR OF DRUGTREATMENT CITY OF D) |
| Authorized Official Contact | 3138764000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Health Department 8809 John C Lodge Detroit MI 48202 Ph: (313) 887-6737 | Detroit Health Department 3245 E Jefferson Ave Ste 100 Detroit MI 48207-4222 Ph: (313) 876-4000 |
| NPI Number | 1740402114 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740402114 | NPI | - | NPPES |
| 4456991 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 820080 (Michigan) | Primary |
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