| Hannan Center | |
|
4750 Woodward Ave Detroit MI 48201-1300 | |
| (313) 833-1300 | |
| Not Available |
| Full Name | Hannan Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4750 Woodward Ave, Detroit, Michigan |
| Authorized Official Name and Position | Vincent Tilford (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3138331300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannan Center 4750 Woodward Ave Detroit MI 48201-1300 Ph: (313) 833-1300 | Hannan Center 4750 Woodward Ave Detroit MI 48201-1300 Ph: (313) 833-1300 |
| NPI Number | 1245874122 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 11/05/2020 |
| Certification Date | 11/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245874122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Secondary |
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