| Emmanuel House | |
|
14750 Saint Marys St # 48227 Detroit MI 48227-1862 | |
| (313) 397-2372 | |
| Not Available |
| Full Name | Emmanuel House |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14750 Saint Marys St # 48227, Detroit, Michigan |
| Authorized Official Name and Position | Timothy Arthur Thompson (DIRECTOR) |
| Authorized Official Contact | 3133972372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel House 14750 Saint Marys St Detroit MI 48227-1862 Ph: (131) 339-7237 | Emmanuel House 14750 Saint Marys St # 48227 Detroit MI 48227-1862 Ph: (313) 397-2372 |
| NPI Number | 1124453154 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124453154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Michigan) | Primary |
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